Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.65 / $124.03 / $180.43	Facility	26	$101.65	$124.03	$180.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $517.66 / $2,520.11	Professional		$425.00	$517.66	$2,520.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.83 / $140.00 / $511.10	Professional	26	$106.83	$140.00	$511.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.39 / $392.94 / $1,020.25	Professional	TC	$316.39	$392.94	$1,020.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.03 / $198.03 / $260.63	Professional		$198.03	$198.03	$260.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $78.80 / $126.79	Professional	26	$62.94	$78.80	$126.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.34 / $576.41 / $1,228.58	Professional		$383.34	$576.41	$1,228.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.98 / $113.78 / $186.71	Professional	26	$88.98	$113.78	$186.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.36 / $446.68 / $1,041.88	Professional	TC	$294.36	$446.68	$1,041.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.25 / $97.25 / $97.25	Facility	26	$97.25	$97.25	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $632.11 / $1,412.80	Professional		$299.98	$632.11	$1,412.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $122.35 / $211.11	Professional	26	$74.23	$122.35	$211.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.91 / $525.92 / $1,268.51	Professional	TC	$232.91	$525.92	$1,268.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $617.36 / $796.16 / $796.16	Facility	26	$617.36	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.99 / $831.89 / $5,311.18	Professional		$391.99	$831.89	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.66 / $115.49 / $808.00	Professional	26	$87.66	$115.49	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $294.39 / $676.38 / $4,858.99	Professional	TC	$294.39	$676.38	$4,858.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $154.47 / $154.47 / $154.47	Professional	26	$154.47	$154.47	$154.47
United Facility/Professional Professional Modifier Low / Median / High Price $385.33 / $593.85 / $1,201.59	Professional		$385.33	$593.85	$1,201.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $106.71 / $184.78	Professional	26	$83.18	$106.71	$184.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.08 / $483.99 / $972.68	Professional	TC	$291.08	$483.99	$972.68