Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.23 / $103.69 / $162.68	Facility	26	$72.23	$103.69	$162.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.73 / $410.26 / $1,552.73	Professional		$301.73	$410.26	$1,552.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.03 / $116.12 / $318.01	Professional	26	$88.03	$116.12	$318.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.69 / $294.14 / $823.47	Professional	TC	$213.69	$294.14	$823.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.86 / $59.31 / $63.10	Professional	26	$53.86	$59.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.26 / $414.75 / $873.17	Professional		$277.26	$414.75	$873.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.75 / $86.17 / $124.22	Professional	26	$73.75	$86.17	$124.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.88 / $313.02 / $757.59	Professional	TC	$202.88	$313.02	$757.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $81.40 / $81.40	Facility	26	$81.40	$81.40	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.06 / $448.12 / $928.25	Professional		$214.06	$448.12	$928.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $86.66 / $147.25	Professional	26	$54.87	$86.66	$147.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.81 / $359.20 / $832.26	Professional	TC	$156.81	$359.20	$832.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $515.04 / $666.24 / $666.24	Facility	26	$515.04	$666.24	$666.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $541.44 / $3,076.60	Professional		$276.93	$541.44	$3,076.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.40 / $92.73 / $867.00	Professional	26	$60.40	$92.73	$867.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $197.94 / $448.84 / $2,747.24	Professional	TC	$197.94	$448.84	$2,747.24
United Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $406.72 / $748.92	Professional		$270.50	$406.72	$748.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.66 / $88.18 / $191.40	Professional	26	$59.66	$88.18	$191.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.38 / $283.44 / $610.08	Professional	TC	$193.38	$283.44	$610.08