Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.09 / $120.30 / $187.29	Facility	26	$104.09	$120.30	$187.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.94 / $450.02 / $1,736.89	Professional		$330.94	$450.02	$1,736.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.93 / $131.25 / $393.02	Professional	26	$87.93	$131.25	$393.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $228.71 / $315.32 / $689.88	Professional	TC	$228.71	$315.32	$689.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $68.31 / $104.79	Professional	26	$62.89	$68.31	$104.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.91 / $438.48 / $952.34	Professional		$285.91	$438.48	$952.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.83 / $106.33 / $180.09	Professional	26	$85.83	$106.33	$180.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.08 / $329.39 / $816.63	Professional	TC	$200.08	$329.39	$816.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $489.05 / $947.99	Professional		$233.73	$489.05	$947.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.59 / $117.46 / $202.97	Professional	26	$71.59	$117.46	$202.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.68 / $360.11 / $802.13	Professional	TC	$167.68	$360.11	$802.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $764.32 / $764.32	Facility	26	$593.12	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.76 / $622.36 / $3,389.77	Professional		$312.76	$622.36	$3,389.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.60 / $121.28 / $657.14	Professional	26	$84.60	$121.28	$657.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $222.80 / $481.09 / $2,953.83	Professional	TC	$222.80	$481.09	$2,953.83
United Facility/Professional Professional Modifier Low / Median / High Price $305.49 / $484.89 / $961.18	Professional		$305.49	$484.89	$961.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.20 / $103.51 / $177.56	Professional	26	$80.20	$103.51	$177.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.07 / $320.27 / $690.18	Professional	TC	$218.07	$320.27	$690.18