Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.41 / $113.41 / $113.41	Facility		$113.41	$113.41	$113.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $46.14 / $107.19	Professional		$38.56	$46.14	$107.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $32.19 / $94.67	Professional	26	$25.28	$32.19	$94.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $20.53 / $29.55	Professional	TC	$11.48	$20.53	$29.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.26 / $38.26 / $44.47	Professional	26	$38.26	$38.26	$44.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $65.00 / $86.27	Professional		$21.74	$65.00	$86.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $49.62 / $59.57	Professional	26	$13.10	$49.62	$59.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.00 / $15.70 / $38.18	Professional	TC	$3.00	$15.70	$38.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $35.01 / $103.53	Professional		$20.39	$35.01	$103.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $28.84 / $96.88	Professional	26	$14.42	$28.84	$96.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.95 / $12.27 / $28.13	Professional	TC	$4.95	$12.27	$28.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $57.75 / $120.98	Facility		$42.83	$57.75	$120.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.74 / $134.74 / $134.74	Facility	26	$134.74	$134.74	$134.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $66.54 / $342.09	Professional		$33.35	$66.54	$342.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $41.76 / $250.96	Professional	26	$19.48	$41.76	$250.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.89 / $29.06 / $250.96	Professional	TC	$11.89	$29.06	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $53.07 / $105.36	Professional		$32.56	$53.07	$105.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $32.11 / $63.45	Professional	26	$18.54	$32.11	$63.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.89 / $20.75 / $46.20	Professional	TC	$11.89	$20.75	$46.20