Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $436.52	Professional		$85.11	$104.71	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $60.26 / $457.09	Professional	26	$34.67	$60.26	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $70.79 / $316.23	Professional	TC	$52.48	$70.79	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $43.65 / $93.33	Professional	26	$39.81	$43.65	$93.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	TC	$66.07	$66.07	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $281.84	Professional		$60.26	$125.89	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $52.48 / $112.20	Professional	26	$22.39	$52.48	$112.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $79.43 / $169.82	Professional	TC	$38.02	$79.43	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $275.42	Professional		$104.71	$177.83	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $67.61 / $112.20	Professional	26	$38.90	$67.61	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $162.18	Professional	TC	$67.61	$109.65	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $426.58	Professional		$53.70	$75.86	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $33.11 / $173.78	Professional	26	$20.42	$33.11	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.86 / $251.19	Professional	TC	$33.88	$47.86	$251.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $891.25	Professional		$77.62	$181.97	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $63.10 / $338.84	Professional	26	$28.18	$63.10	$338.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $109.65 / $549.54	Professional	TC	$50.12	$109.65	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $257.04	Professional		$70.79	$128.82	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $93.33	Professional	26	$26.92	$46.77	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $83.18 / $165.96	Professional	TC	$46.77	$83.18	$165.96