Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.48 / $470.78 / $1,077.90	Facility		$269.48	$470.78	$1,077.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $88.46 / $680.00	Professional		$69.84	$88.46	$680.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $54.88 / $258.92	Professional	26	$21.55	$54.88	$258.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.09 / $53.58 / $130.47	Professional	TC	$45.09	$53.58	$130.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $97.83 / $121.34	Professional		$41.45	$97.83	$121.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $24.06 / $41.00	Professional	26	$12.69	$24.06	$41.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $94.68 / $137.31	Professional		$65.00	$94.68	$137.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $31.05 / $50.36	Professional	26	$21.56	$31.05	$50.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.45 / $65.11 / $92.77	Professional	TC	$43.45	$65.11	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $47.83 / $176.86	Professional		$32.31	$47.83	$176.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $17.82 / $58.38	Professional	26	$10.79	$17.82	$58.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $37.10 / $119.14	Professional	TC	$21.52	$37.10	$119.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $83.33 / $227.11	Facility		$69.02	$83.33	$227.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	26	$124.11	$124.11	$124.11
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $313.37 / $313.37 / $313.37	Facility	TC	$313.37	$313.37	$313.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $94.19 / $559.76	Professional		$56.51	$94.19	$559.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $33.08 / $173.52	Professional	26	$17.75	$33.08	$173.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $64.59 / $386.24	Professional	TC	$38.75	$64.59	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $87.21 / $188.38	Professional		$51.86	$87.21	$188.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $29.29 / $56.69	Professional	26	$16.96	$29.29	$56.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.76 / $62.15 / $122.67	Professional	TC	$34.76	$62.15	$122.67