Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.48 / $48.51 / $73.89	Facility	26	$44.48	$48.51	$73.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $95.26 / $198.51	Professional		$71.40	$95.26	$198.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.11 / $49.26 / $73.89	Professional	26	$43.11	$49.26	$73.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $46.21 / $72.78	Professional	TC	$26.17	$46.21	$72.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $81.84 / $145.66	Professional		$67.31	$81.84	$145.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $54.29 / $86.84	Professional	26	$43.93	$54.29	$86.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $27.57 / $57.62	Professional	TC	$22.16	$27.57	$57.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $107.83 / $183.80	Professional		$77.04	$107.83	$183.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.05 / $60.85 / $106.80	Professional	26	$41.05	$60.85	$106.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.37 / $45.80 / $78.79	Professional	TC	$27.37	$45.80	$78.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $204.09	Facility	26	$95.51	$95.51	$204.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $104.13 / $676.25	Professional		$66.56	$104.13	$676.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $61.04 / $271.97	Professional	26	$42.17	$61.04	$271.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $42.31 / $290.20	Professional	TC	$23.07	$42.31	$290.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $95.99 / $171.27	Professional		$64.50	$95.99	$171.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $57.86 / $101.78	Professional	26	$40.51	$57.86	$101.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $40.88 / $72.58	Professional	TC	$23.07	$40.88	$72.58