Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $52.48 / $74.13	Facility	26	$45.71	$52.48	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $446.68	Professional		$120.23	$158.49	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $162.18	Professional	26	$38.90	$52.48	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $107.15 / $251.19	Professional	TC	$79.43	$107.15	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Professional		$85.11	$85.11	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $56.23 / $97.72	Professional	26	$47.86	$56.23	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $331.13	Professional		$128.82	$165.96	$331.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $104.71	Professional	26	$44.67	$57.54	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $213.80	Professional	TC	$83.18	$107.15	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $213.80	Professional		$134.90	$158.49	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $52.48 / $69.18	Professional	26	$44.67	$52.48	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $107.15 / $144.54	Professional	TC	$91.20	$107.15	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $371.54	Professional		$134.90	$204.17	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $117.49	Professional	26	$45.71	$64.57	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $141.25 / $263.03	Professional	TC	$91.20	$141.25	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $213.80 / $213.80	Facility	26	$102.33	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $1,096.48	Professional		$134.90	$234.42	$1,096.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $446.68	Professional	26	$44.67	$75.86	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $162.18 / $870.96	Professional	TC	$91.20	$162.18	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $295.12	Professional		$131.83	$194.98	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $93.33	Professional	26	$42.66	$58.88	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $131.83 / $208.93	Professional	TC	$89.13	$131.83	$208.93