Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $98.22 / $255.78	Professional		$69.34	$98.22	$255.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $26.25 / $367.01	Professional	26	$21.04	$26.25	$367.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.10 / $73.02 / $98.79	Professional	TC	$43.10	$73.02	$98.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $13.04 / $36.18	Professional	26	$13.04	$13.04	$36.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $88.80 / $185.06	Professional		$29.52	$88.80	$185.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $29.46 / $58.55	Professional	26	$12.10	$29.46	$58.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $60.16 / $139.38	Professional	TC	$17.48	$60.16	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $59.33 / $178.48	Professional		$33.34	$59.33	$178.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.46 / $18.27 / $72.15	Professional	26	$13.46	$18.27	$72.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $44.40 / $106.64	Professional	TC	$19.79	$44.40	$106.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.16 / $127.16 / $127.16	Facility	26	$127.16	$127.16	$127.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $92.46 / $750.04	Professional		$56.51	$92.46	$750.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $32.09 / $179.95	Professional	26	$18.19	$32.09	$179.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $63.87 / $570.15	Professional	TC	$38.32	$63.87	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $85.02 / $176.97	Professional		$56.51	$85.02	$176.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $30.03 / $58.68	Professional	26	$17.43	$30.03	$58.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $57.10 / $127.74	Professional	TC	$38.32	$57.10	$127.74