Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.71 / $46.05 / $54.20	Facility	26	$43.71	$46.05	$54.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $90.33 / $113.66	Professional		$78.95	$90.33	$113.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $45.43 / $67.93	Professional	26	$40.51	$45.43	$67.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $41.94 / $52.00	Professional	TC	$37.35	$41.94	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $102.17 / $102.17	Professional		$70.88	$102.17	$102.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $54.41 / $54.41	Professional	26	$54.41	$54.41	$54.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $86.20 / $136.88	Professional		$61.20	$86.20	$136.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.34 / $51.88 / $77.70	Professional	26	$40.34	$51.88	$77.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $34.99 / $59.31	Professional	TC	$14.33	$34.99	$59.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $113.63 / $178.75	Professional		$79.14	$113.63	$178.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $63.24 / $97.72	Professional	26	$43.82	$63.24	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.67 / $52.72 / $83.86	Professional	TC	$33.67	$52.72	$83.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $196.79 / $196.79	Facility	26	$102.35	$196.79	$196.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $115.59 / $567.30	Professional		$74.55	$115.59	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.42 / $67.25 / $318.67	Professional	26	$42.42	$67.25	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.86 / $55.88 / $318.67	Professional	TC	$30.86	$55.88	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $101.46 / $189.10	Professional		$71.75	$101.46	$189.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.90 / $57.04 / $100.22	Professional	26	$41.90	$57.04	$100.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $49.37 / $95.79	Professional	TC	$31.27	$49.37	$95.79