Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $121.56 / $323.36	Professional		$92.79	$121.56	$323.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $66.84 / $362.77	Professional	26	$34.46	$66.84	$362.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.29 / $72.28 / $148.97	Professional	TC	$61.29	$72.28	$148.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $51.57 / $150.22	Professional		$51.57	$51.57	$150.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $44.74 / $63.10	Professional	26	$17.23	$44.74	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $139.00 / $235.23	Professional		$54.58	$139.00	$235.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $64.06 / $109.88	Professional	26	$20.42	$64.06	$109.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $71.80 / $125.35	Professional	TC	$35.86	$71.80	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $63.73 / $283.14	Professional		$53.65	$63.73	$283.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $30.60 / $153.44	Professional	26	$19.70	$30.60	$153.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.27 / $40.32 / $125.91	Professional	TC	$30.27	$40.32	$125.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $128.19 / $260.14	Facility		$85.58	$128.19	$260.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $221.64 / $221.64 / $221.64	Facility	26	$221.64	$221.64	$221.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $153.71 / $764.45	Professional		$76.44	$153.71	$764.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $56.73 / $310.87	Professional	26	$26.42	$56.73	$310.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $91.75 / $507.20	Professional	TC	$50.02	$91.75	$507.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $123.11 / $249.42	Professional		$70.29	$123.11	$249.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $44.03 / $100.06	Professional	26	$25.51	$44.03	$100.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.78 / $79.95 / $162.51	Professional	TC	$44.78	$79.95	$162.51