Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.96 / $11.55 / $29.32	Facility	26	$6.96	$11.55	$29.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $7.70 / $37.86	Professional	26	$5.92	$7.70	$37.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $23.11 / $47.09	Professional	TC	$20.14	$23.11	$47.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.14 / $27.28 / $34.10	Professional	26	$21.14	$27.28	$34.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.86 / $24.45 / $42.91	Professional	26	$19.86	$24.45	$42.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.42 / $74.81 / $133.31	Professional	TC	$58.42	$74.81	$133.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.39 / $34.22 / $60.62	Professional	26	$24.39	$34.22	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.84 / $103.16 / $179.93	Professional	TC	$74.84	$103.16	$179.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $57.75 / $110.49	Facility	26	$57.75	$57.75	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $149.40 / $149.40	Professional	26	$27.44	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.47 / $393.12 / $393.12	Professional	TC	$78.47	$393.12	$393.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $23.61 / $31.83	Professional	26	$19.98	$23.61	$31.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.39 / $78.47 / $139.60	Professional	TC	$65.39	$78.47	$139.60