Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.34 / $51.33 / $65.56	Facility	26	$46.34	$51.33	$65.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $160.10 / $560.79	Professional		$140.29	$160.10	$560.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.51 / $51.33 / $219.00	Professional	26	$42.51	$51.33	$219.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.06 / $108.77 / $296.33	Professional	TC	$94.06	$108.77	$296.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $41.49 / $47.84	Professional	26	$41.49	$41.49	$47.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $176.77 / $328.00	Professional		$132.82	$176.77	$328.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.12 / $61.04 / $100.99	Professional	26	$46.12	$61.04	$100.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.88 / $114.65 / $218.30	Professional	TC	$85.88	$114.65	$218.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Facility	26	$49.06	$49.06	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $206.02 / $366.66	Professional		$135.09	$206.02	$366.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.11 / $64.16 / $105.61	Professional	26	$44.11	$64.16	$105.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.22 / $140.68 / $260.52	Professional	TC	$90.22	$140.68	$260.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.58 / $214.35 / $214.35	Facility	26	$101.58	$214.35	$214.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $252.62 / $1,086.26	Professional		$144.00	$252.62	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $81.09 / $449.09	Professional	26	$46.19	$81.09	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $172.83 / $867.64	Professional	TC	$97.81	$172.83	$867.64
United Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $213.97 / $335.14	Professional		$140.46	$213.97	$335.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.69 / $69.45 / $112.55	Professional	26	$45.69	$69.45	$112.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.68 / $142.59 / $224.84	Professional	TC	$94.68	$142.59	$224.84