Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.39 / $37.39 / $46.09	Facility	26	$37.39	$37.39	$46.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $299.16 / $759.19	Professional		$240.04	$299.16	$759.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $39.34 / $79.79	Professional	26	$36.10	$39.34	$79.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.43 / $236.99 / $392.28	Professional	TC	$198.43	$236.99	$392.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $35.46 / $35.46	Professional	26	$35.46	$35.46	$35.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.91 / $277.20 / $486.48	Professional		$231.91	$277.20	$486.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.13 / $41.33 / $72.53	Professional	26	$35.13	$41.33	$72.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.45 / $235.86 / $413.94	Professional	TC	$194.45	$235.86	$413.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $351.24 / $571.66	Professional		$238.50	$351.24	$571.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $54.00 / $89.84	Professional	26	$37.11	$54.00	$89.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.33 / $296.24 / $489.01	Professional	TC	$200.33	$296.24	$489.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $171.05 / $171.05	Facility	26	$86.46	$171.05	$171.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $343.30 / $1,627.28	Professional		$244.58	$343.30	$1,627.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.33 / $53.10 / $234.31	Professional	26	$36.33	$53.10	$234.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $207.91 / $291.02 / $1,392.98	Professional	TC	$207.91	$291.02	$1,392.98
United Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $321.80 / $532.65	Professional		$238.52	$321.80	$532.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $49.17 / $85.62	Professional	26	$35.88	$49.17	$85.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.07 / $275.60 / $465.84	Professional	TC	$204.07	$275.60	$465.84