Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $112.20 / $281.84	Facility	26	$72.44	$112.20	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $1,000.00	Professional		$204.17	$275.42	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $239.88	Professional	26	$54.95	$74.13	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $416.87	Professional	TC	$144.54	$194.98	$416.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $69.18 / $104.71	Professional	26	$44.67	$69.18	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $588.84	Professional		$245.47	$331.13	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $141.25	Professional	26	$70.79	$87.10	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $457.09	Professional	TC	$173.78	$251.19	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $380.19	Professional		$218.78	$229.09	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $70.79 / $102.33	Professional	26	$63.10	$70.79	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $162.18 / $309.03	Professional	TC	$154.88	$162.18	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $660.69	Professional		$190.55	$354.81	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $87.10 / $169.82	Professional	26	$53.70	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $263.03 / $549.54	Professional	TC	$141.25	$263.03	$549.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $2,238.72	Professional		$239.88	$407.38	$2,238.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $588.84	Professional	26	$61.66	$93.33	$588.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $331.13 / $1,819.70	Professional	TC	$169.82	$331.13	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $537.03	Professional		$223.87	$331.13	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $77.62 / $125.89	Professional	26	$57.54	$77.62	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $245.47 / $407.38	Professional	TC	$165.96	$245.47	$407.38