Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $88.25 / $235.59	Professional		$69.18	$88.25	$235.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.90 / $55.52 / $153.34	Professional	26	$44.90	$55.52	$153.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.28 / $30.04 / $78.75	Professional	TC	$24.28	$30.04	$78.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.05 / $76.95 / $93.95	Professional	26	$71.05	$76.95	$93.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $114.64 / $182.23	Professional		$38.79	$114.64	$182.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $87.74 / $121.32	Professional	26	$26.64	$87.74	$121.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $28.00 / $60.91	Professional	TC	$14.84	$28.00	$60.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $51.29 / $223.84	Professional		$43.52	$51.29	$223.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.18 / $36.27 / $163.33	Professional	26	$29.18	$36.27	$163.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.46 / $20.47 / $58.11	Professional	TC	$12.46	$20.47	$58.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $270.97 / $270.97 / $270.97	Facility	26	$270.97	$270.97	$270.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $111.39 / $587.10	Professional		$55.22	$111.39	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $79.83 / $381.48	Professional	26	$39.19	$79.83	$381.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $34.96 / $205.55	Professional	TC	$16.03	$34.96	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $90.47 / $174.72	Professional		$54.96	$90.47	$174.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.33 / $65.31 / $128.37	Professional	26	$37.33	$65.31	$128.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $25.97 / $53.84	Professional	TC	$16.03	$25.97	$53.84