Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.77 / $71.72 / $107.57	Facility	26	$64.77	$71.72	$107.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $125.52 / $274.00	Professional		$93.18	$125.52	$274.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $71.34 / $138.16	Professional	26	$58.97	$71.34	$138.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $49.03 / $78.36	Professional	TC	$30.51	$49.03	$78.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $146.63 / $153.90	Professional		$128.69	$146.63	$153.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $66.39 / $66.39	Professional	26	$66.39	$66.39	$66.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $108.04 / $183.22	Professional		$88.74	$108.04	$183.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.90 / $76.04 / $125.57	Professional	26	$61.90	$76.04	$125.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $31.99 / $61.27	Professional	TC	$25.80	$31.99	$61.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $137.72 / $235.01	Professional		$98.72	$137.72	$235.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.89 / $86.38 / $149.71	Professional	26	$59.89	$86.38	$149.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.12 / $49.02 / $83.50	Professional	TC	$31.12	$49.02	$83.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $140.60 / $284.70	Facility	26	$140.60	$140.60	$284.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $135.27 / $865.60	Professional		$86.20	$135.27	$865.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.02 / $87.74 / $382.35	Professional	26	$59.02	$87.74	$382.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $45.73 / $307.58	Professional	TC	$25.86	$45.73	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $125.11 / $226.57	Professional		$85.10	$125.11	$226.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.02 / $82.46 / $155.22	Professional	26	$59.02	$82.46	$155.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $43.02 / $74.78	Professional	TC	$25.54	$43.02	$74.78