Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.21 / $43.15 / $76.03	Facility	26	$28.21	$43.15	$76.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $115.22 / $220.40	Professional		$86.29	$115.22	$220.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $28.77 / $64.28	Professional	26	$23.42	$28.77	$64.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $85.52 / $157.36	Professional	TC	$62.86	$85.52	$157.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $36.54 / $49.08	Professional	26	$13.00	$36.54	$49.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $104.41 / $211.32	Professional		$45.43	$104.41	$211.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $30.43 / $55.56	Professional	26	$13.21	$30.43	$55.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $72.68 / $158.91	Professional	TC	$32.22	$72.68	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $68.66 / $240.35	Professional		$45.54	$68.66	$240.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $21.53 / $69.22	Professional	26	$13.02	$21.53	$69.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $63.33 / $171.40	Professional	TC	$32.61	$63.33	$171.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $148.36 / $148.36	Facility	26	$78.48	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $130.60 / $875.57	Professional		$82.03	$130.60	$875.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $35.74 / $212.17	Professional	26	$21.45	$35.74	$212.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.58 / $94.39 / $663.40	Professional	TC	$60.58	$94.39	$663.40
United Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $126.45 / $291.77	Professional		$81.41	$126.45	$291.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $34.97 / $70.81	Professional	26	$20.90	$34.97	$70.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.66 / $93.22 / $194.06	Professional	TC	$59.66	$93.22	$194.06