Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.69 / $47.10 / $62.60	Facility	26	$44.69	$47.10	$62.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $262.44 / $467.91	Professional		$206.63	$262.44	$467.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.00 / $49.28 / $122.73	Professional	26	$44.00	$49.28	$122.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $217.74 / $398.36	Professional	TC	$162.49	$217.74	$398.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $33.22 / $34.54	Professional	26	$33.22	$33.22	$34.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $289.54 / $417.43	Professional		$213.21	$289.54	$417.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.56 / $60.38 / $96.55	Professional	26	$48.56	$60.38	$96.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.63 / $216.53 / $346.98	Professional	TC	$160.63	$216.53	$346.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.05 / $382.57 / $706.58	Professional		$242.05	$382.57	$706.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $65.03 / $110.63	Professional	26	$44.69	$65.03	$110.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.11 / $324.39 / $607.75	Professional	TC	$208.11	$324.39	$607.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $202.83 / $202.83	Facility	26	$104.57	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.51 / $386.86 / $1,904.10	Professional		$267.51	$386.86	$1,904.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $69.06 / $588.72	Professional	26	$44.63	$69.06	$588.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.43 / $321.33 / $1,640.58	Professional	TC	$225.43	$321.33	$1,640.58
United Facility/Professional Professional Modifier Low / Median / High Price $258.44 / $339.36 / $649.49	Professional		$258.44	$339.36	$649.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.09 / $60.28 / $102.48	Professional	26	$44.09	$60.28	$102.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.93 / $284.25 / $503.80	Professional	TC	$217.93	$284.25	$503.80