Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.67 / $24.67 / $42.00	Facility	26	$24.67	$24.67	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $134.36 / $287.06	Professional		$95.27	$134.36	$287.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $30.59 / $99.50	Professional	26	$24.67	$30.59	$99.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $101.94 / $230.50	Professional	TC	$65.98	$101.94	$230.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $27.46 / $27.46	Professional	26	$27.46	$27.46	$27.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $158.99 / $216.00	Professional		$109.08	$158.99	$216.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $38.13 / $58.40	Professional	26	$26.41	$38.13	$58.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.95 / $121.05 / $169.45	Professional	TC	$70.95	$121.05	$169.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $231.67 / $421.23	Professional		$144.74	$231.67	$421.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $39.70 / $68.80	Professional	26	$24.67	$39.70	$68.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.79 / $196.70 / $352.43	Professional	TC	$123.79	$196.70	$352.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $82.93 / $160.47 / $160.47	Facility	26	$82.93	$160.47	$160.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $230.70 / $1,341.64	Professional		$157.37	$230.70	$1,341.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $39.09 / $375.24	Professional	26	$27.07	$39.09	$375.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $137.38 / $194.33 / $1,090.58	Professional	TC	$137.38	$194.33	$1,090.58
United Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $202.49 / $357.35	Professional		$152.49	$202.49	$357.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.74 / $34.22 / $57.08	Professional	26	$26.74	$34.22	$57.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.74 / $172.96 / $322.64	Professional	TC	$131.74	$172.96	$322.64