Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.20 / $92.94 / $145.88	Facility	26	$81.20	$92.94	$145.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.88 / $419.15 / $1,428.88	Professional		$300.88	$419.15	$1,428.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $114.59 / $277.41	Professional	26	$85.00	$114.59	$277.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.03 / $304.56 / $931.29	Professional	TC	$208.03	$304.56	$931.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $66.13 / $100.38	Professional	26	$47.03	$66.13	$100.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $371.69 / $813.54	Professional		$239.73	$371.69	$813.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.76 / $82.40 / $139.69	Professional	26	$66.76	$82.40	$139.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.97 / $287.04 / $673.85	Professional	TC	$172.97	$287.04	$673.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.79 / $393.20 / $848.21	Professional		$196.79	$393.20	$848.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.55 / $90.67 / $159.19	Professional	26	$55.55	$90.67	$159.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.62 / $308.18 / $719.93	Professional	TC	$145.62	$308.18	$719.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $461.28 / $596.96 / $596.96	Facility	26	$461.28	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.35 / $514.04 / $2,821.00	Professional		$261.35	$514.04	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.77 / $93.69 / $625.77	Professional	26	$65.77	$93.69	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.00 / $399.32 / $2,451.15	Professional	TC	$193.00	$399.32	$2,451.15
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $115.44 / $115.44 / $115.44	Professional	26	$115.44	$115.44	$115.44
United Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $373.07 / $750.02	Professional		$238.41	$373.07	$750.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.91 / $81.56 / $212.38	Professional	26	$62.91	$81.56	$212.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.91 / $278.33 / $622.16	Professional	TC	$188.91	$278.33	$622.16