Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $120.24 / $510.67	Professional		$114.57	$120.24	$510.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $39.25 / $215.38	Professional	26	$30.81	$39.25	$215.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.75 / $85.04 / $302.93	Professional	TC	$80.75	$85.04	$302.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $26.87 / $26.87	Professional	26	$26.87	$26.87	$26.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $190.34 / $411.01	Professional		$88.50	$190.34	$411.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $64.11 / $133.01	Professional	26	$24.51	$64.11	$133.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.99 / $114.65 / $278.02	Professional	TC	$63.99	$114.65	$278.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $111.92 / $358.41	Professional		$65.59	$111.92	$358.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $38.35 / $184.30	Professional	26	$20.04	$38.35	$184.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.07 / $81.27 / $183.28	Professional	TC	$46.07	$81.27	$183.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $191.34 / $1,070.24	Professional		$80.33	$191.34	$1,070.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $63.28 / $390.67	Professional	26	$25.99	$63.28	$390.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $126.81 / $793.60	Professional	TC	$54.34	$126.81	$793.60
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $133.88 / $282.57	Professional		$80.33	$133.88	$282.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.01 / $43.14 / $100.14	Professional	26	$25.01	$43.14	$100.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $86.89 / $181.16	Professional	TC	$54.34	$86.89	$181.16