Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $81.11 / $117.60	Facility	26	$76.93	$81.11	$117.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $155.60 / $442.21	Professional		$127.77	$155.60	$442.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $82.73 / $191.37	Professional	26	$72.04	$82.73	$191.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.78 / $61.75 / $95.34	Professional	TC	$51.78	$61.75	$95.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $145.49 / $205.18	Professional		$111.78	$145.49	$205.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $96.40 / $110.39	Professional	26	$71.48	$96.40	$110.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $143.41 / $234.07	Professional		$117.37	$143.41	$234.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.87 / $82.45 / $135.06	Professional	26	$66.87	$82.45	$135.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.24 / $61.46 / $100.93	Professional	TC	$50.24	$61.46	$100.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $179.26 / $297.70	Professional		$111.17	$179.26	$297.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.00 / $111.38 / $173.89	Professional	26	$78.00	$111.38	$173.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.58 / $83.52 / $136.36	Professional	TC	$56.58	$83.52	$136.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.18 / $351.19 / $351.19	Facility	26	$180.18	$351.19	$351.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $195.78 / $874.03	Professional		$133.16	$195.78	$874.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.70 / $114.30 / $497.06	Professional	26	$74.70	$114.30	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.87 / $86.97 / $376.97	Professional	TC	$57.87	$86.97	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $186.93 / $305.04	Professional		$131.52	$186.93	$305.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.72 / $102.34 / $175.90	Professional	26	$73.72	$102.34	$175.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.83 / $78.75 / $135.43	Professional	TC	$55.83	$78.75	$135.43