Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.73 / $101.24 / $158.11	Facility	26	$87.73	$101.24	$158.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $475.00 / $1,451.50	Professional		$350.48	$475.00	$1,451.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.38 / $128.00 / $322.00	Professional	26	$89.38	$128.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.73 / $335.00 / $931.29	Professional	TC	$276.73	$335.00	$931.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $64.16 / $64.16	Professional	26	$64.16	$64.16	$64.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $385.59 / $824.64	Professional		$270.75	$385.59	$824.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.95 / $90.00 / $150.68	Professional	26	$71.95	$90.00	$150.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.79 / $302.98 / $673.95	Professional	TC	$198.79	$302.98	$673.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.85 / $534.12 / $957.56	Professional		$292.85	$534.12	$957.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.12 / $98.85 / $171.71	Professional	26	$60.12	$98.85	$171.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.73 / $441.28 / $838.09	Professional	TC	$239.73	$441.28	$838.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.88 / $647.12 / $647.12	Facility	26	$502.88	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.35 / $611.87 / $3,077.22	Professional		$392.35	$611.87	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.09 / $102.55 / $680.25	Professional	26	$71.09	$102.55	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $317.20 / $528.63 / $2,677.57	Professional	TC	$317.20	$528.63	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $382.62 / $561.79 / $938.94	Professional		$382.62	$561.79	$938.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.14 / $87.97 / $150.25	Professional	26	$69.14	$87.97	$150.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $297.70 / $411.32 / $697.93	Professional	TC	$297.70	$411.32	$697.93