Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.50 / $117.74 / $193.72	Facility	26	$97.50	$117.74	$193.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.11 / $317.62 / $1,146.96	Professional		$267.11	$317.62	$1,146.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.56 / $91.56 / $231.40	Professional	26	$79.56	$91.56	$231.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.33 / $220.00 / $403.94	Professional	TC	$176.33	$220.00	$403.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.91 / $67.91 / $67.91	Professional	26	$67.91	$67.91	$67.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $343.90 / $775.22	Professional		$263.33	$343.90	$775.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.07 / $104.35 / $188.85	Professional	26	$89.07	$104.35	$188.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.26 / $245.32 / $607.16	Professional	TC	$174.26	$245.32	$607.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $450.98 / $825.48	Professional		$255.79	$450.98	$825.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.26 / $120.94 / $213.57	Professional	26	$74.26	$120.94	$213.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.62 / $349.70 / $656.19	Professional	TC	$185.62	$349.70	$656.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $792.40 / $792.40	Facility	26	$618.08	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.69 / $533.29 / $3,081.89	Professional		$327.69	$533.29	$3,081.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.24 / $122.56 / $554.78	Professional	26	$90.24	$122.56	$554.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $232.31 / $414.92 / $2,625.91	Professional	TC	$232.31	$414.92	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $470.34 / $786.48	Professional		$317.39	$470.34	$786.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $107.57 / $212.03	Professional	26	$82.50	$107.57	$212.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.16 / $318.63 / $568.01	Professional	TC	$214.16	$318.63	$568.01