Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $103.15 / $167.84	Professional		$98.76	$103.15	$167.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.80 / $27.93 / $63.35	Professional	26	$24.80	$27.93	$63.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.34 / $75.22 / $133.18	Professional	TC	$71.34	$75.22	$133.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.62 / $21.62 / $21.62	Professional	26	$21.62	$21.62	$21.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $102.73 / $189.14	Professional		$44.64	$102.73	$189.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $30.03 / $52.27	Professional	26	$13.54	$30.03	$52.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $68.62 / $138.27	Professional	TC	$31.10	$68.62	$138.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $65.00 / $181.92	Professional		$35.29	$65.00	$181.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $20.90 / $63.18	Professional	26	$12.44	$20.90	$63.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $45.64 / $126.54	Professional	TC	$22.86	$45.64	$126.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $113.65 / $730.19	Professional		$69.94	$113.65	$730.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $33.92 / $200.25	Professional	26	$20.35	$33.92	$200.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.39 / $80.00 / $531.07	Professional	TC	$47.39	$80.00	$531.07
United Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $105.17 / $218.91	Professional		$65.51	$105.17	$218.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.62 / $33.52 / $66.55	Professional	26	$19.62	$33.52	$66.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.60 / $74.84 / $153.76	Professional	TC	$46.60	$74.84	$153.76