Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $47.90 / $124.31	Professional		$42.37	$47.90	$124.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.35 / $31.62 / $91.18	Professional	26	$27.35	$31.62	$91.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.01 / $16.28 / $42.49	Professional	TC	$15.01	$16.28	$42.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $46.86 / $54.46	Professional	26	$43.56	$46.86	$54.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $68.16 / $109.85	Professional		$24.10	$68.16	$109.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $54.13 / $72.80	Professional	26	$16.27	$54.13	$72.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.40 / $17.00 / $37.06	Professional	TC	$9.40	$17.00	$37.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $32.06 / $121.97	Professional		$25.47	$32.06	$121.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $22.34 / $80.44	Professional	26	$17.17	$22.34	$80.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.26 / $13.02 / $35.42	Professional	TC	$8.26	$13.02	$35.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $165.02 / $165.02 / $165.02	Facility	26	$165.02	$165.02	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $67.42 / $353.10	Professional		$34.64	$67.42	$353.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $44.48 / $231.59	Professional	26	$23.82	$44.48	$231.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $22.71 / $121.51	Professional	TC	$10.82	$22.71	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $56.74 / $110.55	Professional		$33.15	$56.74	$110.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.27 / $78.34	Professional	26	$22.91	$39.27	$78.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $17.30 / $33.56	Professional	TC	$10.82	$17.30	$33.56