Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $113.01 / $304.36	Professional		$87.45	$113.01	$304.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $80.43 / $100.95	Professional	26	$67.59	$80.43	$100.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.87 / $30.64 / $42.25	Professional	TC	$19.87	$30.64	$42.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $96.23 / $155.43	Professional		$92.13	$96.23	$155.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $100.81 / $197.99	Professional		$85.05	$100.81	$197.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $87.55 / $146.10	Professional	26	$68.17	$87.55	$146.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.68 / $21.22 / $43.66	Professional	TC	$13.68	$21.22	$43.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $120.84 / $233.12	Professional		$88.27	$120.84	$233.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.40 / $91.31 / $183.05	Professional	26	$65.40	$91.31	$183.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $31.18 / $50.21	Professional	TC	$19.30	$31.18	$50.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.91 / $177.91 / $343.65	Facility	26	$177.91	$177.91	$343.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $119.20 / $702.18	Professional		$82.28	$119.20	$702.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $93.69 / $487.97	Professional	26	$64.23	$93.69	$487.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $27.41 / $214.27	Professional	TC	$17.41	$27.41	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $115.20 / $198.48	Professional		$82.28	$115.20	$198.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.17 / $87.27 / $168.46	Professional	26	$61.17	$87.27	$168.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $27.41 / $52.49	Professional	TC	$17.43	$27.41	$52.49