Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.69 / $23.69 / $34.15	Facility	26	$23.69	$23.69	$34.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.30 / $190.31 / $473.75	Professional		$147.30	$190.31	$473.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.30 / $28.31 / $78.40	Professional	26	$23.30	$28.31	$78.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.03 / $160.38 / $404.01	Professional	TC	$124.03	$160.38	$404.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $33.49 / $38.47	Professional	26	$8.36	$33.49	$38.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $219.38 / $344.07	Professional		$160.00	$219.38	$344.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $31.93 / $53.90	Professional	26	$25.30	$31.93	$53.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.04 / $182.93 / $306.07	Professional	TC	$133.04	$182.93	$306.07
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 $151.93 / $236.83 / $416.22	Professional		$151.93	$236.83	$416.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $34.60 / $57.71	Professional	26	$23.58	$34.60	$57.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.97 / $205.00 / $385.50	Professional	TC	$129.97	$205.00	$385.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $236.27 / $236.27	Facility	26	$54.52	$236.27	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $241.35 / $1,431.47	Professional		$166.73	$241.35	$1,431.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $36.13 / $293.89	Professional	26	$23.71	$36.13	$293.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.47 / $206.32 / $1,288.22	Professional	TC	$141.47	$206.32	$1,288.22
United Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $208.41 / $353.54	Professional		$162.10	$208.41	$353.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $31.27 / $54.30	Professional	26	$23.71	$31.27	$54.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.94 / $176.35 / $299.24	Professional	TC	$136.94	$176.35	$299.24