Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.23 / $124.20 / $193.35	Facility	26	$115.23	$124.20	$193.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.40 / $459.83 / $1,789.78	Professional		$338.40	$459.83	$1,789.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.48 / $139.07 / $391.13	Professional	26	$105.48	$139.07	$391.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.93 / $321.14 / $823.96	Professional	TC	$232.93	$321.14	$823.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.93 / $65.91 / $134.27	Professional	26	$62.93	$65.91	$134.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $379.46 / $1,028.95	Professional		$290.25	$379.46	$1,028.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.61 / $115.19 / $199.26	Professional	26	$88.61	$115.19	$199.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.63 / $267.80 / $829.72	Professional	TC	$201.63	$267.80	$829.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $464.44 / $983.53	Professional		$239.95	$464.44	$983.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $122.66 / $219.58	Professional	26	$74.41	$122.66	$219.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.11 / $350.14 / $818.67	Professional	TC	$171.11	$350.14	$818.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $620.48 / $795.36 / $795.36	Facility	26	$620.48	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.16 / $640.01 / $3,482.54	Professional		$315.16	$640.01	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.80 / $126.05 / $642.27	Professional	26	$90.80	$126.05	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $221.93 / $487.19 / $2,996.90	Professional	TC	$221.93	$487.19	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $278.36 / $451.33 / $937.54	Professional		$278.36	$451.33	$937.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $110.01 / $188.17	Professional	26	$82.50	$110.01	$188.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.86 / $275.16 / $699.90	Professional	TC	$210.86	$275.16	$699.90