Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.95 / $105.79 / $175.51	Facility	26	$91.95	$105.79	$175.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $367.73 / $1,449.44	Professional		$265.26	$367.73	$1,449.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.68 / $95.53 / $371.66	Professional	26	$74.68	$95.53	$371.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.47 / $270.02 / $1,053.10	Professional	TC	$182.47	$270.02	$1,053.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $122.28 / $195.36	Professional		$100.19	$122.28	$195.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.31 / $86.06 / $123.29	Professional	26	$61.31	$86.06	$123.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $343.59 / $770.93	Professional		$260.82	$343.59	$770.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.55 / $111.16 / $183.67	Professional	26	$86.55	$111.16	$183.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.26 / $236.98 / $607.42	Professional	TC	$174.26	$236.98	$607.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.92 / $465.70 / $978.42	Professional		$242.92	$465.70	$978.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.22 / $118.87 / $206.84	Professional	26	$72.22	$118.87	$206.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.71 / $346.36 / $836.48	Professional	TC	$170.71	$346.36	$836.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $600.40 / $773.84 / $773.84	Facility	26	$600.40	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $552.54 / $3,248.56	Professional		$300.99	$552.54	$3,248.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.79 / $118.74 / $880.00	Professional	26	$87.79	$118.74	$880.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $209.59 / $425.68 / $2,762.21	Professional	TC	$209.59	$425.68	$2,762.21
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $150.16 / $150.16 / $150.16	Professional	26	$150.16	$150.16	$150.16
United Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $432.16 / $795.23	Professional		$291.63	$432.16	$795.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.28 / $104.38 / $179.00	Professional	26	$84.28	$104.38	$179.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.91 / $285.99 / $584.04	Professional	TC	$200.91	$285.99	$584.04