Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.70 / $124.25 / $194.39	Facility	26	$109.70	$124.25	$194.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.02 / $500.99 / $1,522.58	Professional		$423.02	$500.99	$1,522.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $140.00 / $389.19	Professional	26	$91.25	$140.00	$389.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.37 / $368.50 / $931.29	Professional	TC	$303.37	$368.50	$931.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.73 / $88.18 / $88.18	Professional	26	$62.73	$88.18	$88.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.50 / $460.90 / $943.17	Professional		$352.50	$460.90	$943.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.36 / $113.59 / $189.54	Professional	26	$88.36	$113.59	$189.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.14 / $350.81 / $765.13	Professional	TC	$264.14	$350.81	$765.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $525.25 / $959.27	Professional		$290.00	$525.25	$959.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.72 / $122.34 / $209.72	Professional	26	$74.72	$122.34	$209.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.90 / $417.99 / $807.10	Professional	TC	$222.90	$417.99	$807.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $614.96 / $793.04 / $793.04	Facility	26	$614.96	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $581.37 / $3,032.66	Professional		$377.48	$581.37	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.09 / $114.61 / $854.80	Professional	26	$87.09	$114.61	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $286.25 / $469.47 / $2,562.41	Professional	TC	$286.25	$469.47	$2,562.41
United Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $482.50 / $797.62	Professional		$351.12	$482.50	$797.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.51 / $105.04 / $183.05	Professional	26	$82.51	$105.04	$183.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $274.75 / $384.73 / $695.44	Professional	TC	$274.75	$384.73	$695.44