Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $125.58 / $216.74	Professional		$96.82	$125.58	$216.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $15.33 / $19.26	Professional	26	$12.35	$15.33	$19.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.45 / $108.07 / $148.33	Professional	TC	$79.45	$108.07	$148.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $113.86 / $113.86	Professional		$113.86	$113.86	$113.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $99.31 / $171.10	Professional		$65.79	$99.31	$171.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $18.00 / $33.78	Professional	26	$15.00	$18.00	$33.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.65 / $85.19 / $134.77	Professional	TC	$58.65	$85.19	$134.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $131.44 / $217.96	Professional		$85.27	$131.44	$217.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $17.96 / $35.00	Professional	26	$12.50	$17.96	$35.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.62 / $115.60 / $196.23	Professional	TC	$71.62	$115.60	$196.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $100.00	Facility	26	$34.29	$34.29	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $132.56 / $800.25	Professional		$79.58	$132.56	$800.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $18.57 / $135.38	Professional	26	$12.25	$18.57	$135.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $111.95 / $706.26	Professional	TC	$68.70	$111.95	$706.26
United Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $121.64 / $241.68	Professional		$80.13	$121.64	$241.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $17.57 / $31.65	Professional	26	$11.64	$17.57	$31.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $106.04 / $212.95	Professional	TC	$68.70	$106.04	$212.95