Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.63 / $35.44 / $35.82	Facility	26	$33.63	$35.44	$35.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $108.84 / $273.00	Professional		$64.31	$108.84	$273.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $35.34 / $95.24	Professional	26	$31.19	$35.34	$95.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $69.03 / $85.98	Professional	TC	$33.03	$69.03	$85.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $85.32 / $85.32	Professional		$85.32	$85.32	$85.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $32.52 / $32.52	Professional	26	$32.52	$32.52	$32.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $80.79 / $141.97	Professional		$51.86	$80.79	$141.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $63.00	Professional	26	$32.36	$39.81	$63.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $36.81 / $94.18	Professional	TC	$12.92	$36.81	$94.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $111.70 / $188.37	Professional		$70.33	$111.70	$188.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $48.33 / $74.25	Professional	26	$33.65	$48.33	$74.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.76 / $70.22 / $128.21	Professional	TC	$28.76	$70.22	$128.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $152.90 / $152.90	Facility	26	$78.13	$152.90	$152.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $124.81 / $687.40	Professional		$65.18	$124.81	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $51.54 / $224.56	Professional	26	$32.15	$51.54	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.85 / $81.84 / $472.45	Professional	TC	$26.85	$81.84	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $115.20 / $225.30	Professional		$65.18	$115.20	$225.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $45.55 / $77.14	Professional	26	$31.45	$45.55	$77.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $65.00 / $127.31	Professional	TC	$25.10	$65.00	$127.31