Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.62 / $101.75 / $159.71	Facility	26	$88.62	$101.75	$159.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.03 / $449.16 / $1,719.73	Professional		$340.03	$449.16	$1,719.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.43 / $113.95 / $292.75	Professional	26	$86.43	$113.95	$292.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.06 / $329.60 / $972.99	Professional	TC	$239.06	$329.60	$972.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.21 / $150.21 / $150.21	Professional		$150.21	$150.21	$150.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.20 / $58.20 / $114.90	Professional	26	$58.20	$58.20	$114.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $352.84 / $829.57	Professional		$271.83	$352.84	$829.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.68 / $90.30 / $153.66	Professional	26	$72.68	$90.30	$153.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.14 / $262.73 / $661.08	Professional	TC	$199.14	$262.73	$661.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.57 / $441.00 / $809.00	Professional		$229.57	$441.00	$809.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.02 / $100.49 / $173.40	Professional	26	$61.02	$100.49	$173.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.93 / $337.81 / $671.73	Professional	TC	$173.93	$337.81	$671.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $505.36 / $653.60 / $653.60	Facility	26	$505.36	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.74 / $528.69 / $2,872.81	Professional		$308.74	$528.69	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.22 / $103.54 / $548.98	Professional	26	$72.22	$103.54	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $230.33 / $424.37 / $2,498.98	Professional	TC	$230.33	$424.37	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $439.84 / $771.82	Professional		$297.83	$439.84	$771.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.90 / $88.38 / $163.16	Professional	26	$71.90	$88.38	$163.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.50 / $338.60 / $721.41	Professional	TC	$222.50	$338.60	$721.41