Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.28 / $29.38 / $43.93	Facility	26	$29.28	$29.38	$43.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $132.68 / $533.55	Professional		$97.68	$132.68	$533.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $35.89 / $118.50	Professional	26	$23.33	$35.89	$118.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.04 / $85.55 / $218.88	Professional	TC	$74.04	$85.55	$218.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $30.61 / $38.46	Professional	26	$20.04	$30.61	$38.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $139.47 / $216.77	Professional		$102.68	$139.47	$216.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $35.90 / $59.25	Professional	26	$26.27	$35.90	$59.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $107.64 / $157.33	Professional	TC	$74.95	$107.64	$157.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.20 / $28.20 / $28.20	Facility	26	$28.20	$28.20	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $141.38 / $241.76	Professional		$97.55	$141.38	$241.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $37.13 / $63.00	Professional	26	$25.21	$37.13	$63.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.81 / $106.30 / $195.85	Professional	TC	$72.81	$106.30	$195.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $136.00 / $136.00	Facility	26	$57.98	$136.00	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $177.82 / $698.76	Professional		$100.69	$177.82	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $46.32 / $279.51	Professional	26	$26.35	$46.32	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $133.68 / $479.00	Professional	TC	$74.34	$133.68	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $147.96 / $240.11	Professional		$98.08	$147.96	$240.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $39.63 / $65.97	Professional	26	$26.12	$39.63	$65.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.18 / $108.37 / $172.10	Professional	TC	$72.18	$108.37	$172.10