Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.28 / $157.61 / $240.10	Facility	26	$150.28	$157.61	$240.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.56 / $481.32 / $2,408.73	Professional		$394.56	$481.32	$2,408.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.50 / $177.46 / $585.60	Professional	26	$134.50	$177.46	$585.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.99 / $335.00 / $1,461.00	Professional	TC	$271.99	$335.00	$1,461.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.02 / $483.62 / $483.62	Professional		$352.02	$483.62	$483.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $113.70 / $171.86	Professional	26	$80.98	$113.70	$171.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.20 / $444.51 / $1,315.20	Professional		$339.20	$444.51	$1,315.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.00 / $145.33 / $266.08	Professional	26	$113.00	$145.33	$266.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $226.20 / $300.41 / $1,049.13	Professional	TC	$226.20	$300.41	$1,049.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.11 / $550.00 / $1,342.48	Professional		$279.11	$550.00	$1,342.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $159.85 / $270.55	Professional	26	$95.10	$159.85	$270.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.26 / $389.36 / $1,148.72	Professional	TC	$190.26	$389.36	$1,148.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.00 / $1,016.96 / $1,016.96	Facility	26	$794.00	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.67 / $818.97 / $6,199.75	Professional		$366.67	$818.97	$6,199.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.19 / $164.70 / $931.20	Professional	26	$116.19	$164.70	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.54 / $615.47 / $5,551.18	Professional	TC	$248.54	$615.47	$5,551.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $556.16 / $556.16 / $556.16	Professional		$556.16	$556.16	$556.16
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $197.64 / $197.64 / $197.64	Professional	26	$197.64	$197.64	$197.64
United Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $525.99 / $1,280.67	Professional		$336.18	$525.99	$1,280.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.33 / $149.72 / $234.58	Professional	26	$113.33	$149.72	$234.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.46 / $356.02 / $921.07	Professional	TC	$235.46	$356.02	$921.07