Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.61 / $54.49 / $96.60	Facility	26	$35.61	$54.49	$96.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $164.74 / $326.17	Professional		$145.34	$164.74	$326.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $49.68 / $148.63	Professional	26	$35.60	$49.68	$148.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.82 / $115.91 / $191.97	Professional	TC	$96.82	$115.91	$191.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $27.08 / $62.07	Professional	26	$13.00	$27.08	$62.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $162.09 / $304.25	Professional		$66.30	$162.09	$304.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $51.60 / $106.92	Professional	26	$22.60	$51.60	$106.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $98.52 / $193.62	Professional	TC	$43.70	$98.52	$193.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $91.97 / $315.99	Professional		$74.34	$91.97	$315.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.36 / $32.42 / $160.52	Professional	26	$20.36	$32.42	$160.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.93 / $70.18 / $166.57	Professional	TC	$45.93	$70.18	$166.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $239.31 / $239.31	Facility	26	$99.23	$239.31	$239.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $177.85 / $1,140.80	Professional		$107.51	$177.85	$1,140.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $54.36 / $326.98	Professional	26	$27.50	$54.36	$326.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.55 / $132.58 / $871.18	Professional	TC	$79.55	$132.58	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $165.76 / $358.67	Professional		$106.25	$165.76	$358.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $45.39 / $90.85	Professional	26	$27.23	$45.39	$90.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.23 / $112.69 / $257.20	Professional	TC	$74.23	$112.69	$257.20