Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.64 / $82.93 / $121.41	Facility	26	$61.64	$82.93	$121.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $280.30 / $838.37	Professional		$190.52	$280.30	$838.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $66.26 / $249.26	Professional	26	$55.00	$66.26	$249.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.72 / $220.00 / $628.58	Professional	TC	$134.72	$220.00	$628.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $151.63 / $151.63	Professional		$151.63	$151.63	$151.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $55.62 / $79.67	Professional	26	$39.54	$55.62	$79.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.68 / $304.68 / $658.12	Professional		$242.68	$304.68	$658.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $84.50 / $143.22	Professional	26	$68.45	$84.50	$143.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.22 / $220.72 / $530.57	Professional	TC	$174.22	$220.72	$530.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $320.05 / $596.86	Professional		$156.88	$320.05	$596.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.68 / $81.17 / $141.37	Professional	26	$46.68	$81.17	$141.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.59 / $240.26 / $472.05	Professional	TC	$113.59	$240.26	$472.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $388.00 / $502.08 / $502.08	Facility	26	$388.00	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $364.46 / $1,940.92	Professional		$224.67	$364.46	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $85.17 / $556.79	Professional	26	$57.74	$85.17	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $164.17 / $290.77 / $1,561.11	Professional	TC	$164.17	$290.77	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $301.33 / $502.29	Professional		$217.47	$301.33	$502.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $74.26 / $130.47	Professional	26	$57.74	$74.26	$130.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.28 / $236.96 / $371.81	Professional	TC	$155.28	$236.96	$371.81