Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $335.30 / $607.75	Facility		$99.43	$335.30	$607.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $23.03 / $55.37	Facility	26	$16.55	$23.03	$55.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $136.94 / $342.99	Professional		$113.82	$136.94	$342.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $24.23 / $39.61	Professional	26	$11.78	$24.23	$39.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.93 / $109.01 / $206.11	Professional	TC	$96.93	$109.01	$206.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $107.71 / $107.71	Professional		$107.71	$107.71	$107.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.61 / $28.61 / $32.61	Professional	26	$28.61	$28.61	$32.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $144.03 / $215.63	Professional		$107.41	$144.03	$215.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $24.13 / $36.28	Professional	26	$13.98	$24.13	$36.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.27 / $120.50 / $189.68	Professional	TC	$93.27	$120.50	$189.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.11 / $667.07 / $667.07	Facility		$281.11	$667.07	$667.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $209.16 / $354.33	Professional		$144.66	$209.16	$354.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $26.27 / $46.95	Professional	26	$13.82	$26.27	$46.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.02 / $186.52 / $329.83	Professional	TC	$121.02	$186.52	$329.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $171.08 / $310.70	Facility		$119.89	$171.08	$310.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $102.96 / $102.96	Facility	26	$52.72	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $214.74 / $1,197.25	Professional		$142.59	$214.74	$1,197.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $31.22 / $198.13	Professional	26	$13.28	$31.22	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.50 / $188.71 / $1,126.14	Professional	TC	$120.50	$188.71	$1,126.14
United Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $189.71 / $314.39	Professional		$134.66	$189.71	$314.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $27.17 / $45.94	Professional	26	$13.06	$27.17	$45.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.14 / $159.22 / $256.95	Professional	TC	$116.14	$159.22	$256.95