Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $128.18 / $261.81	Professional		$100.92	$128.18	$261.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.32 / $37.99 / $106.52	Professional	26	$27.32	$37.99	$106.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.92 / $96.90 / $163.18	Professional	TC	$62.92	$96.90	$163.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $21.05 / $44.81	Professional	26	$16.14	$21.05	$44.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $144.11 / $235.13	Professional		$41.39	$144.11	$235.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $58.25 / $85.40	Professional	26	$16.48	$58.25	$85.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $51.81 / $180.06	Professional	TC	$23.69	$51.81	$180.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $77.44 / $231.73	Professional		$46.27	$77.44	$231.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $23.48 / $115.30	Professional	26	$17.07	$23.48	$115.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $58.42 / $121.26	Professional	TC	$26.41	$58.42	$121.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	26	$173.52	$173.52	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $152.13 / $973.09	Professional		$77.09	$152.13	$973.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $52.31 / $236.03	Professional	26	$22.52	$52.31	$236.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.21 / $97.31 / $750.23	Professional	TC	$53.21	$97.31	$750.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $118.81 / $223.31	Professional		$77.09	$118.81	$223.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $37.53 / $75.13	Professional	26	$21.77	$37.53	$75.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.86 / $72.95 / $169.21	Professional	TC	$48.86	$72.95	$169.21