Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.10 / $57.82 / $88.31	Facility	26	$43.10	$57.82	$88.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $176.86 / $627.89	Professional		$89.01	$176.86	$627.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $62.03 / $237.80	Professional	26	$42.71	$62.03	$237.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.71 / $55.72 / $175.26	Professional	52	$42.71	$55.72	$175.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.61 / $66.77 / $272.98	Professional	TC	$44.61	$66.77	$272.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $81.40 / $121.77	Professional		$81.40	$81.40	$121.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.18 / $54.07 / $94.57	Professional	26	$36.18	$54.07	$94.57
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.35 / $20.35 / $29.59	Professional	52	$20.35	$20.35	$29.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $179.15 / $353.56	Professional		$114.19	$179.15	$353.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.68 / $70.29 / $146.97	Professional	26	$48.68	$70.29	$146.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.36 / $113.77 / $220.00	Professional	TC	$62.36	$113.77	$220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $197.34 / $321.79	Professional		$95.80	$197.34	$321.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $78.67 / $129.16	Professional	26	$44.53	$78.67	$129.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.27 / $112.31 / $199.73	Professional	TC	$51.27	$112.31	$199.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $333.99 / $333.99	Facility	26	$102.90	$333.99	$333.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $212.26 / $3,000.00	Professional		$117.69	$212.26	$3,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $81.05 / $870.13	Professional	26	$46.19	$81.05	$870.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.15 / $130.82 / $870.13	Professional	TC	$67.15	$130.82	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $181.09 / $333.05	Professional		$107.19	$181.09	$333.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.34 / $68.93 / $120.77	Professional	26	$45.34	$68.93	$120.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.74 / $105.15 / $171.95	Professional	TC	$63.74	$105.15	$171.95