Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $27.50 / $34.10	Facility	26	$22.73	$27.50	$34.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $140.41 / $358.70	Professional		$111.21	$140.41	$358.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $23.93 / $49.67	Professional	26	$14.51	$23.93	$49.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.81 / $106.95 / $236.59	Professional	TC	$93.81	$106.95	$236.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $21.32 / $32.54	Professional	26	$16.78	$21.32	$32.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $152.15 / $222.62	Professional		$121.04	$152.15	$222.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $27.00 / $37.42	Professional	26	$19.10	$27.00	$37.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.38 / $121.90 / $185.97	Professional	TC	$97.38	$121.90	$185.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $184.18 / $328.40	Professional		$118.47	$184.18	$328.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.37 / $52.15	Professional	26	$19.05	$27.37	$52.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.73 / $155.87 / $285.47	Professional	TC	$95.73	$155.87	$285.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $102.96 / $102.96	Facility	26	$53.56	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $185.14 / $1,021.59	Professional		$131.18	$185.14	$1,021.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $35.13 / $203.09	Professional	26	$16.10	$35.13	$203.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.11 / $155.96 / $934.78	Professional	TC	$106.11	$155.96	$934.78
United Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $168.18 / $293.04	Professional		$127.75	$168.18	$293.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.65 / $29.63 / $54.30	Professional	26	$15.65	$29.63	$54.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.91 / $134.34 / $239.57	Professional	TC	$102.91	$134.34	$239.57