Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $134.90 / $281.84	Facility	26	$69.18	$134.90	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $501.19	Professional		$181.97	$251.19	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $186.21	Professional	26	$51.29	$69.18	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $371.54	Professional	TC	$128.82	$173.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $46.77	Professional	26	$45.71	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $660.69	Professional		$239.88	$302.00	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $125.89	Professional	26	$63.10	$79.43	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $512.86	Professional	TC	$173.78	$223.87	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $354.81	Professional		$208.93	$213.80	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $70.79 / $100.00	Professional	26	$63.10	$70.79	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $162.18 / $275.42	Professional	TC	$144.54	$162.18	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $645.65	Professional		$181.97	$331.13	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $158.49	Professional	26	$52.48	$83.18	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $245.47 / $524.81	Professional	TC	$125.89	$245.47	$524.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $2,290.87	Professional		$223.87	$407.38	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $524.81	Professional	26	$57.54	$89.13	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $316.23 / $2,398.83	Professional	TC	$154.88	$316.23	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $512.86	Professional		$208.93	$309.03	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $123.03	Professional	26	$56.23	$70.79	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $223.87 / $398.11	Professional	TC	$151.36	$223.87	$398.11