Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.36 / $149.61 / $243.51	Facility	26	$136.36	$149.61	$243.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $675.37 / $2,843.42	Professional		$475.00	$675.37	$2,843.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.85 / $156.51 / $624.70	Professional	26	$132.85	$156.51	$624.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $518.87 / $1,087.27	Professional	TC	$335.00	$518.87	$1,087.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $247.06 / $247.06	Professional		$247.06	$247.06	$247.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.29 / $109.37 / $149.57	Professional	26	$79.29	$109.37	$149.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.84 / $618.76 / $1,278.51	Professional		$444.84	$618.76	$1,278.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.60 / $131.12 / $235.88	Professional	26	$111.60	$131.12	$235.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $333.24 / $480.24 / $1,042.61	Professional	TC	$333.24	$480.24	$1,042.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.33 / $122.33 / $122.33	Facility	26	$122.33	$122.33	$122.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $777.34 / $1,519.94	Professional		$409.01	$777.34	$1,519.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.43 / $152.82 / $261.79	Professional	26	$93.43	$152.82	$261.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.55 / $632.99 / $1,338.96	Professional	TC	$325.55	$632.99	$1,338.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $781.84 / $1,000.96 / $1,000.96	Facility	26	$781.84	$1,000.96	$1,000.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.14 / $980.93 / $5,967.97	Professional		$555.14	$980.93	$5,967.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.20 / $156.81 / $937.83	Professional	26	$110.20	$156.81	$937.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $433.20 / $822.34 / $5,400.50	Professional	TC	$433.20	$822.34	$5,400.50
United Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $787.19 / $1,598.24	Professional		$534.16	$787.19	$1,598.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.99 / $137.72 / $259.36	Professional	26	$107.99	$137.72	$259.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $421.07 / $638.13 / $1,347.84	Professional	TC	$421.07	$638.13	$1,347.84