Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.64 / $73.79 / $112.79	Facility	26	$61.64	$73.79	$112.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $272.27 / $892.76	Professional		$164.83	$272.27	$892.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $74.69 / $252.69	Professional	26	$56.06	$74.69	$252.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.12 / $190.77 / $628.58	Professional	TC	$107.12	$190.77	$628.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $107.41	Professional		$80.73	$80.73	$107.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $55.62 / $79.67	Professional	26	$39.61	$55.62	$79.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $170.98 / $170.98 / $170.98	Professional	TC	$170.98	$170.98	$170.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $205.23 / $591.64	Professional		$152.40	$205.23	$591.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.62 / $72.87 / $135.69	Professional	26	$55.62	$72.87	$135.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.77 / $134.47 / $470.66	Professional	TC	$96.77	$134.47	$470.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.98 / $60.98 / $60.98	Facility	26	$60.98	$60.98	$60.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $252.76 / $513.72	Professional		$132.44	$252.76	$513.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.68 / $77.28 / $140.18	Professional	26	$46.68	$77.28	$140.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.72 / $181.52 / $408.65	Professional	TC	$88.72	$181.52	$408.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $388.00 / $498.88 / $498.88	Facility	26	$388.00	$498.88	$498.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $317.64 / $1,708.01	Professional		$169.62	$317.64	$1,708.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $80.58 / $384.71	Professional	26	$57.74	$80.58	$384.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $111.54 / $227.08 / $2,023.00	Professional	TC	$111.54	$227.08	$2,023.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $97.07 / $97.07 / $97.07	Professional	26	$97.07	$97.07	$97.07
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $237.47 / $433.92	Professional		$165.83	$237.47	$433.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $74.51 / $133.88	Professional	26	$57.15	$74.51	$133.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.52 / $159.51 / $286.91	Professional	TC	$107.52	$159.51	$286.91