Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.59 / $364.59 / $364.59	Facility		$364.59	$364.59	$364.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $141.69 / $312.91	Professional		$112.56	$141.69	$312.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.58 / $39.31 / $169.86	Professional	26	$31.58	$39.31	$169.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.78 / $108.29 / $146.50	Professional	TC	$75.78	$108.29	$146.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $73.62 / $73.62	Professional		$73.62	$73.62	$73.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $24.44 / $56.01	Professional	26	$16.05	$24.44	$56.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $167.05 / $267.06	Professional		$71.42	$167.05	$267.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $51.27 / $81.79	Professional	26	$16.42	$51.27	$81.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.01 / $113.46 / $206.70	Professional	TC	$55.01	$113.46	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $85.66 / $306.17	Professional		$55.91	$85.66	$306.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.13 / $107.11	Professional	26	$18.20	$24.13	$107.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.11 / $69.45 / $200.03	Professional	TC	$36.11	$69.45	$200.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.90 / $153.88 / $393.06	Facility		$122.90	$153.88	$393.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.67 / $213.67 / $213.67	Facility	26	$213.67	$213.67	$213.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $172.48 / $1,081.50	Professional		$105.06	$172.48	$1,081.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $42.30 / $235.79	Professional	26	$24.04	$42.30	$235.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.75 / $131.91 / $845.71	Professional	TC	$72.75	$131.91	$845.71
United Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $170.67 / $350.80	Professional		$98.75	$170.67	$350.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.20 / $39.67 / $79.15	Professional	26	$23.20	$39.67	$79.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.50 / $127.53 / $255.03	Professional	TC	$65.50	$127.53	$255.03