Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.84 / $51.70 / $84.40	Facility	26	$44.84	$51.70	$84.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $178.59 / $650.00	Professional		$112.18	$178.59	$650.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.27 / $46.24 / $147.63	Professional	26	$36.27	$46.24	$147.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.04 / $160.87 / $487.00	Professional	TC	$72.04	$160.87	$487.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $81.06 / $95.09	Professional		$61.38	$81.06	$95.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.82 / $39.81 / $60.14	Professional	26	$29.82	$39.81	$60.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $112.15 / $112.15 / $112.15	Professional	TC	$112.15	$112.15	$112.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $137.35 / $419.62	Professional		$105.87	$137.35	$419.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $54.87 / $88.92	Professional	26	$42.06	$54.87	$88.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.81 / $84.73 / $302.79	Professional	TC	$63.81	$84.73	$302.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $45.92 / $45.92	Facility	26	$45.92	$45.92	$45.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $175.16 / $352.79	Professional		$92.39	$175.16	$352.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $57.53 / $101.49	Professional	26	$34.90	$57.53	$101.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.23 / $116.16 / $262.64	Professional	TC	$59.23	$116.16	$262.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $292.88 / $376.16 / $376.16	Facility	26	$292.88	$376.16	$376.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $217.46 / $1,267.82	Professional		$117.29	$217.46	$1,267.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.87 / $60.88 / $315.37	Professional	26	$42.87	$60.88	$315.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.30 / $153.09 / $1,108.00	Professional	TC	$73.30	$153.09	$1,108.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $73.19 / $73.19 / $73.19	Professional	26	$73.19	$73.19	$73.19
United Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $168.70 / $305.77	Professional		$114.70	$168.70	$305.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $51.86 / $93.49	Professional	26	$40.81	$51.86	$93.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.89 / $101.53 / $192.42	Professional	TC	$70.89	$101.53	$192.42