Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $43.70 / $110.00	Professional		$35.47	$43.70	$110.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.29 / $60.00	Professional	26	$15.85	$18.29	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $22.92 / $50.36	Professional	TC	$19.39	$22.92	$50.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $53.28 / $53.28	Professional		$53.28	$53.28	$53.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $60.49 / $110.17	Professional		$48.00	$60.49	$110.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $25.00 / $44.78	Professional	26	$21.00	$25.00	$44.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.90 / $35.47 / $62.82	Professional	TC	$27.90	$35.47	$62.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $58.73 / $131.22	Professional		$38.61	$58.73	$131.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $25.31 / $46.76	Professional	26	$17.71	$25.31	$46.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $32.08 / $84.46	Professional	TC	$21.56	$32.08	$84.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $47.60 / $100.00	Facility	26	$47.60	$47.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $57.74 / $339.23	Professional		$40.29	$57.74	$339.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $23.41 / $128.44	Professional	26	$15.88	$23.41	$128.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $34.21 / $221.35	Professional	TC	$21.78	$34.21	$221.35
United Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $49.95 / $79.88	Professional		$36.27	$49.95	$79.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $21.27 / $36.25	Professional	26	$15.64	$21.27	$36.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $28.99 / $47.60	Professional	TC	$21.08	$28.99	$47.60