Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $50.12	Facility	26	$43.65	$43.65	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $251.19	Professional		$69.18	$95.50	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $151.36	Professional	26	$38.02	$54.95	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $39.81 / $74.13	Professional	TC	$21.38	$39.81	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $117.49	Professional		$69.18	$87.10	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $44.67	Professional	26	$39.81	$39.81	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $134.90	Professional		$63.10	$75.86	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $77.62	Professional	26	$41.69	$51.29	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $53.70	Professional	TC	$20.42	$25.12	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $125.89	Professional		$77.62	$89.13	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $74.13	Professional	26	$41.69	$48.98	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $60.26	Professional	TC	$24.55	$39.81	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $158.49	Professional		$72.44	$100.00	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $95.50	Professional	26	$42.66	$58.88	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $70.79	Professional	TC	$24.55	$39.81	$70.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $190.55 / $190.55	Facility	26	$95.50	$190.55	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $616.60	Professional		$64.57	$100.00	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $263.03	Professional	26	$39.81	$61.66	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $263.03	Professional	TC	$22.39	$38.02	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $138.04	Professional		$60.26	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $83.18	Professional	26	$37.15	$51.29	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $32.36 / $54.95	Professional	TC	$19.95	$32.36	$54.95