Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.94 / $27.91 / $35.53	Facility	26	$24.94	$27.91	$35.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $158.24 / $377.86	Professional		$117.48	$158.24	$377.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $24.94 / $63.32	Professional	26	$18.76	$24.94	$63.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.28 / $120.92 / $325.00	Professional	TC	$94.28	$120.92	$325.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $91.35 / $91.35	Professional		$91.35	$91.35	$91.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $18.84 / $18.84	Professional	26	$18.84	$18.84	$18.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $170.49 / $274.33	Professional		$126.84	$170.49	$274.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $28.74 / $42.38	Professional	26	$23.93	$28.74	$42.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.24 / $143.00 / $236.59	Professional	TC	$101.24	$143.00	$236.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $182.76 / $327.90	Professional		$119.43	$182.76	$327.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.59 / $31.63 / $56.15	Professional	26	$22.59	$31.63	$56.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.36 / $155.36 / $283.14	Professional	TC	$96.36	$155.36	$283.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $174.32 / $174.32	Facility	26	$53.90	$174.32	$174.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $189.19 / $1,035.17	Professional		$131.37	$189.19	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.55 / $36.11 / $303.79	Professional	26	$20.55	$36.11	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $105.39 / $159.03 / $922.24	Professional	TC	$105.39	$159.03	$922.24
United Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $168.94 / $291.33	Professional		$127.75	$168.94	$291.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $31.71 / $54.27	Professional	26	$19.22	$31.71	$54.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.60 / $132.57 / $224.64	Professional	TC	$104.60	$132.57	$224.64