Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $79.90 / $895.83	Facility		$64.43	$79.90	$895.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.98 / $18.96 / $19.37	Facility	26	$17.98	$18.96	$19.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $73.73 / $174.55	Professional		$52.79	$73.73	$174.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $18.55 / $46.50	Professional	26	$16.67	$18.55	$46.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.48 / $53.41 / $147.55	Professional	TC	$43.48	$53.41	$147.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $58.85 / $58.85	Professional		$58.85	$58.85	$58.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $1,466.00 / $1,641.00	Facility		$1,423.00	$1,466.00	$1,641.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $99.37 / $164.97	Professional		$64.77	$99.37	$164.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $22.53 / $36.08	Professional	26	$17.00	$22.53	$36.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.28 / $77.29 / $141.79	Professional	TC	$44.28	$77.29	$141.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.24 / $403.24 / $846.60	Facility		$403.24	$403.24	$846.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $112.77 / $239.60	Professional		$63.97	$112.77	$239.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $25.48 / $39.95	Professional	26	$17.98	$25.48	$39.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.20 / $82.32 / $202.53	Professional	TC	$46.20	$82.32	$202.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $87.63 / $165.41	Facility		$61.18	$87.63	$165.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $134.26 / $134.26	Facility	26	$42.01	$134.26	$134.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $125.56 / $803.55	Professional		$66.92	$125.56	$803.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.22 / $27.59 / $416.07	Professional	26	$17.22	$27.59	$416.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $96.72 / $567.25	Professional	TC	$48.72	$96.72	$567.25
United Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $92.71 / $161.60	Professional		$63.25	$92.71	$161.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $23.84 / $41.21	Professional	26	$16.82	$23.84	$41.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.85 / $72.14 / $123.50	Professional	TC	$43.85	$72.14	$123.50