Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.51 / $76.56 / $125.81	Facility	26	$64.51	$76.56	$125.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.83 / $275.00 / $980.87	Professional		$183.83	$275.00	$980.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $74.53 / $291.45	Professional	26	$58.24	$74.53	$291.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.37 / $201.68 / $713.65	Professional	TC	$120.37	$201.68	$713.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $131.50 / $170.82	Professional		$131.50	$131.50	$170.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.60 / $62.62 / $94.95	Professional	26	$44.60	$62.62	$94.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $225.78 / $628.19	Professional		$174.28	$225.78	$628.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $80.56 / $132.30	Professional	26	$62.89	$80.56	$132.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.39 / $147.93 / $478.74	Professional	TC	$111.39	$147.93	$478.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $289.63 / $543.00	Professional		$151.07	$289.63	$543.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $86.12 / $150.50	Professional	26	$52.48	$86.12	$150.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.59 / $193.80 / $418.27	Professional	TC	$101.59	$193.80	$418.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $565.04 / $565.04	Facility	26	$436.88	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $325.83 / $1,897.57	Professional		$194.16	$325.83	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.41 / $86.75 / $435.88	Professional	26	$63.41	$86.75	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.92 / $230.03 / $1,600.00	Professional	TC	$127.92	$230.03	$1,600.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $109.19 / $109.19 / $109.19	Professional	26	$109.19	$109.19	$109.19
United Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $271.82 / $444.60	Professional		$188.43	$271.82	$444.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.71 / $77.14 / $150.88	Professional	26	$60.71	$77.14	$150.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.76 / $183.31 / $314.44	Professional	TC	$123.76	$183.31	$314.44