Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.71 / $49.39 / $54.20	Facility	26	$43.71	$49.39	$54.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $140.96 / $262.25	Professional		$115.87	$140.96	$262.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $45.98 / $68.28	Professional	26	$40.51	$45.98	$68.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.64 / $87.86 / $128.37	Professional	TC	$72.64	$87.86	$128.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $195.04 / $195.04	Professional		$95.21	$195.04	$195.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.83 / $54.83 / $54.83	Professional	26	$54.83	$54.83	$54.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $132.54 / $225.07	Professional		$101.15	$132.54	$225.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.00 / $52.69 / $78.26	Professional	26	$41.00	$52.69	$78.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.00 / $84.81 / $141.28	Professional	TC	$60.00	$84.81	$141.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $173.94 / $365.32	Professional		$115.12	$173.94	$365.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $64.11 / $99.26	Professional	26	$44.52	$64.11	$99.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.51 / $109.40 / $257.88	Professional	TC	$72.51	$109.40	$257.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $198.29 / $198.29	Facility	26	$102.69	$198.29	$198.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.27 / $179.88 / $944.58	Professional		$117.27	$179.88	$944.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $68.29 / $386.24	Professional	26	$43.40	$68.29	$386.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.52 / $114.75 / $782.04	Professional	TC	$73.52	$114.75	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $159.19 / $308.35	Professional		$118.23	$159.19	$308.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $58.39 / $100.79	Professional	26	$42.55	$58.39	$100.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $102.47 / $176.88	Professional	TC	$71.81	$102.47	$176.88