Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.33 / $65.78 / $100.77	Facility	26	$52.33	$65.78	$100.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $243.92 / $877.07	Professional		$136.80	$243.92	$877.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.25 / $58.00 / $225.87	Professional	26	$45.25	$58.00	$225.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.77 / $148.58 / $598.58	Professional	TC	$86.77	$148.58	$598.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $91.83 / $91.83	Professional		$91.83	$91.83	$91.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.89 / $48.98 / $70.17	Professional	26	$34.89	$48.98	$70.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $190.02 / $492.35	Professional		$146.78	$190.02	$492.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $63.94 / $120.51	Professional	26	$49.69	$63.94	$120.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $125.80 / $349.04	Professional	TC	$97.08	$125.80	$349.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $229.27 / $453.27	Professional		$112.99	$229.27	$453.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $68.11 / $124.66	Professional	26	$41.27	$68.11	$124.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.09 / $160.24 / $340.70	Professional	TC	$74.09	$160.24	$340.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $278.93 / $1,609.32	Professional		$158.07	$278.93	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.10 / $69.19 / $379.76	Professional	26	$51.10	$69.19	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.51 / $213.64 / $1,318.35	Professional	TC	$106.51	$213.64	$1,318.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $85.61 / $85.61 / $85.61	Professional	26	$85.61	$85.61	$85.61
United Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $227.11 / $389.69	Professional		$153.26	$227.11	$389.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.47 / $62.44 / $112.75	Professional	26	$50.47	$62.44	$112.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.30 / $155.76 / $273.94	Professional	TC	$101.30	$155.76	$273.94