Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.27 / $73.54 / $132.01	Facility	26	$66.27	$73.54	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $275.00 / $971.02	Professional		$178.24	$275.00	$971.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $67.38 / $240.59	Professional	26	$55.00	$67.38	$240.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.67 / $186.91 / $786.52	Professional	TC	$116.67	$186.91	$786.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $59.82 / $85.70	Professional	26	$42.58	$59.82	$85.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $262.02 / $594.97	Professional		$205.45	$262.02	$594.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.47 / $77.16 / $126.39	Professional	26	$60.47	$77.16	$126.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.97 / $185.59 / $482.45	Professional	TC	$144.97	$185.59	$482.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $295.20 / $535.50	Professional		$146.80	$295.20	$535.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.26 / $82.25 / $143.99	Professional	26	$50.26	$82.25	$143.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.58 / $204.09 / $418.90	Professional	TC	$99.58	$204.09	$418.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $540.32 / $540.32	Facility	26	$417.20	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $346.54 / $1,882.38	Professional		$198.49	$346.54	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $82.64 / $434.24	Professional	26	$60.26	$82.64	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $136.05 / $268.45 / $1,576.92	Professional	TC	$136.05	$268.45	$1,576.92
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $104.52 / $104.52 / $104.52	Professional	26	$104.52	$104.52	$104.52
United Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $274.20 / $486.56	Professional		$189.52	$274.20	$486.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $72.81 / $144.93	Professional	26	$57.49	$72.81	$144.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.49 / $196.74 / $325.48	Professional	TC	$130.49	$196.74	$325.48