Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.18 / $65.73 / $99.14	Facility	26	$36.18	$65.73	$99.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $115.81 / $232.49	Professional		$83.62	$115.81	$232.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $66.09 / $157.69	Professional	26	$56.40	$66.09	$157.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $45.86 / $73.27	Professional	TC	$26.89	$45.86	$73.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $126.45 / $135.82	Professional		$84.71	$126.45	$135.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.68 / $68.67 / $70.66	Professional	26	$48.68	$68.67	$70.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $95.16 / $170.01	Professional		$80.22	$95.16	$170.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.38 / $66.84 / $107.27	Professional	26	$56.38	$66.84	$107.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $28.30 / $57.02	Professional	TC	$23.39	$28.30	$57.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $125.94 / $218.13	Professional		$89.81	$125.94	$218.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $78.80 / $136.19	Professional	26	$55.15	$78.80	$136.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.49 / $45.56 / $78.20	Professional	TC	$27.49	$45.56	$78.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $129.41 / $248.27	Facility	26	$129.41	$129.41	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $125.11 / $746.58	Professional		$79.76	$125.11	$746.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.92 / $79.59 / $352.29	Professional	26	$53.92	$79.59	$352.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $42.09 / $288.04	Professional	TC	$23.06	$42.09	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $114.99 / $207.29	Professional		$77.38	$114.99	$207.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $74.00 / $142.96	Professional	26	$52.12	$74.00	$142.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $40.68 / $64.31	Professional	TC	$23.06	$40.68	$64.31