Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.23 / $82.67 / $129.72	Facility	26	$72.23	$82.67	$129.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.08 / $415.80 / $1,427.80	Professional		$278.08	$415.80	$1,427.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.95 / $92.58 / $478.87	Professional	26	$70.95	$92.58	$478.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.95 / $286.20 / $1,020.25	Professional	TC	$207.95	$286.20	$1,020.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.77 / $58.77 / $72.44	Professional	26	$58.77	$58.77	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $392.66 / $873.17	Professional		$248.32	$392.66	$873.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.44 / $75.87 / $124.22	Professional	26	$59.44	$75.87	$124.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.88 / $304.76 / $757.59	Professional	TC	$188.88	$304.76	$757.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $414.62 / $892.26	Professional		$197.30	$414.62	$892.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.39 / $81.26 / $142.28	Professional	26	$49.39	$81.26	$142.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.52 / $344.82 / $796.27	Professional	TC	$152.52	$344.82	$796.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $409.92 / $530.79 / $530.79	Facility	26	$409.92	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $505.44 / $2,955.62	Professional		$257.67	$505.44	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $76.09 / $596.05	Professional	26	$58.28	$76.09	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $424.04 / $2,626.86	Professional	TC	$192.87	$424.04	$2,626.86
United Facility/Professional Professional Modifier Low / Median / High Price $253.27 / $390.32 / $714.39	Professional		$253.27	$390.32	$714.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $70.23 / $122.70	Professional	26	$55.22	$70.23	$122.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.16 / $278.39 / $599.24	Professional	TC	$188.16	$278.39	$599.24