Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.29 / $36.89 / $55.32	Facility	26	$33.29	$36.89	$55.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $75.87 / $120.15	Professional		$51.82	$75.87	$120.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.37 / $36.13 / $76.68	Professional	26	$29.37	$36.13	$76.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $39.15 / $61.73	Professional	TC	$19.32	$39.15	$61.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Professional		$72.73	$72.73	$72.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $39.65 / $39.65	Professional	26	$39.65	$39.65	$39.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $60.56 / $111.75	Professional		$49.97	$60.56	$111.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.80 / $39.02 / $62.43	Professional	26	$31.80	$39.02	$62.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $20.98 / $48.53	Professional	TC	$16.87	$20.98	$48.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $82.41 / $149.83	Professional		$58.09	$82.41	$149.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.80 / $44.46 / $76.52	Professional	26	$30.80	$44.46	$76.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $37.13 / $60.51	Professional	TC	$21.48	$37.13	$60.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $72.78 / $145.80	Facility	26	$72.78	$72.78	$145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $81.91 / $486.90	Professional		$51.49	$81.91	$486.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.22 / $44.80 / $196.52	Professional	26	$30.22	$44.80	$196.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $35.04 / $244.63	Professional	TC	$18.39	$35.04	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $75.65 / $134.91	Professional		$48.90	$75.65	$134.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $41.24 / $70.88	Professional	26	$29.88	$41.24	$70.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $32.11 / $56.18	Professional	TC	$18.77	$32.11	$56.18