Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $83.15 / $130.41	Facility	26	$67.87	$83.15	$130.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $425.00 / $1,427.80	Professional		$275.38	$425.00	$1,427.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $126.00 / $416.99	Professional	26	$60.39	$126.00	$416.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.01 / $295.74 / $931.29	Professional	TC	$202.01	$295.74	$931.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.07 / $59.11 / $79.80	Professional	26	$42.07	$59.11	$79.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $363.04 / $799.24	Professional		$251.12	$363.04	$799.24
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 $191.68 / $282.76 / $675.04	Professional	TC	$191.68	$282.76	$675.04
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 $187.58 / $407.35 / $893.87	Professional		$187.58	$407.35	$893.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.52 / $81.26 / $140.97	Professional	26	$49.52	$81.26	$140.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.51 / $332.58 / $797.88	Professional	TC	$142.51	$332.58	$797.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $412.32 / $530.79 / $530.79	Facility	26	$412.32	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.74 / $512.49 / $2,961.02	Professional		$247.74	$512.49	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.06 / $76.54 / $505.24	Professional	26	$58.06	$76.54	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $182.72 / $430.32 / $2,631.72	Professional	TC	$182.72	$430.32	$2,631.72
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $103.25 / $103.25 / $103.25	Professional	26	$103.25	$103.25	$103.25
United Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $351.36 / $748.92	Professional		$241.21	$351.36	$748.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $70.86 / $133.44	Professional	26	$55.25	$70.86	$133.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.68 / $268.62 / $654.88	Professional	TC	$180.68	$268.62	$654.88