Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.13 / $27.13 / $31.04	Facility	26	$27.13	$27.13	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $67.98 / $97.39	Professional		$43.79	$67.98	$97.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $30.04 / $44.92	Professional	26	$25.78	$30.04	$44.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $37.74 / $50.85	Professional	TC	$17.87	$37.74	$50.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $82.30 / $82.30	Professional		$82.30	$82.30	$82.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $52.00 / $96.47	Professional		$42.44	$52.00	$96.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $31.82 / $52.31	Professional	26	$25.78	$31.82	$52.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.68 / $19.44 / $46.71	Professional	TC	$15.68	$19.44	$46.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $71.64 / $118.81	Professional		$49.91	$71.64	$118.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $36.18 / $62.68	Professional	26	$25.04	$36.18	$62.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $35.17 / $57.26	Professional	TC	$19.23	$35.17	$57.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $58.37 / $118.83	Facility	26	$58.37	$58.37	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $71.56 / $398.18	Professional		$43.71	$71.56	$398.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.59 / $36.74 / $160.04	Professional	26	$24.59	$36.74	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.66 / $33.63 / $238.14	Professional	TC	$16.66	$33.63	$238.14
United Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $66.17 / $131.55	Professional		$43.25	$66.17	$131.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $34.44 / $57.80	Professional	26	$24.36	$34.44	$57.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.19 / $30.57 / $52.70	Professional	TC	$15.19	$30.57	$52.70