Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.06 / $44.70 / $64.62	Facility	26	$39.06	$44.70	$64.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $84.97 / $169.96	Professional		$65.95	$84.97	$169.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.84 / $44.39 / $66.47	Professional	26	$37.84	$44.39	$66.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $38.79 / $61.17	Professional	TC	$22.57	$38.79	$61.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $93.72 / $93.72	Professional		$93.72	$93.72	$93.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $37.75 / $50.61	Professional	26	$30.68	$37.75	$50.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $74.61 / $125.87	Professional		$60.95	$74.61	$125.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $51.17 / $75.08	Professional	26	$39.78	$51.17	$75.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $23.44 / $48.53	Professional	TC	$19.13	$23.44	$48.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $93.81 / $158.63	Professional		$67.09	$93.81	$158.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $55.34 / $99.28	Professional	26	$36.04	$55.34	$99.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.36 / $38.77 / $66.43	Professional	TC	$23.36	$38.77	$66.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $83.68 / $176.34	Facility	26	$83.68	$83.68	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $92.68 / $568.04	Professional		$60.74	$92.68	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.01 / $53.59 / $234.92	Professional	26	$37.01	$53.59	$234.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $35.83 / $244.63	Professional	TC	$19.43	$35.83	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $83.68 / $157.91	Professional		$59.28	$83.68	$157.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $50.39 / $92.47	Professional	26	$34.86	$50.39	$92.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $33.01 / $59.53	Professional	TC	$18.93	$33.01	$59.53