Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.59 / $102.23 / $148.03	Facility	26	$83.59	$102.23	$148.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.68 / $493.27 / $2,161.75	Professional		$401.68	$493.27	$2,161.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $140.00 / $439.23	Professional	26	$86.81	$140.00	$439.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $314.87 / $370.33 / $1,020.25	Professional	TC	$314.87	$370.33	$1,020.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $188.99 / $188.99	Professional		$124.21	$188.99	$188.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.70 / $70.97 / $97.20	Professional	26	$51.70	$70.97	$97.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.49 / $561.17 / $1,228.58	Professional		$365.49	$561.17	$1,228.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $101.51 / $176.72	Professional	26	$73.00	$101.51	$176.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.50 / $446.68 / $1,041.88	Professional	TC	$292.50	$446.68	$1,041.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $615.00 / $1,411.73	Professional		$285.95	$615.00	$1,411.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.70 / $104.24 / $186.73	Professional	26	$61.70	$104.24	$186.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.76 / $524.00 / $1,267.44	Professional	TC	$231.76	$524.00	$1,267.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $507.76 / $656.72 / $656.72	Facility	26	$507.76	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.41 / $820.53 / $5,311.18	Professional		$373.41	$820.53	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.43 / $106.61 / $808.00	Professional	26	$75.43	$106.61	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $292.29 / $674.90 / $4,858.99	Professional	TC	$292.29	$674.90	$4,858.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $126.91 / $126.91 / $126.91	Professional	26	$126.91	$126.91	$126.91
United Facility/Professional Professional Modifier Low / Median / High Price $366.72 / $555.78 / $1,144.63	Professional		$366.72	$555.78	$1,144.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.34 / $89.94 / $152.30	Professional	26	$72.34	$89.94	$152.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.27 / $433.98 / $1,098.22	Professional	TC	$286.27	$433.98	$1,098.22