Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.69 / $89.75 / $135.99	Facility	26	$76.69	$89.75	$135.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $475.00 / $1,908.74	Professional		$322.00	$475.00	$1,908.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $126.00 / $368.96	Professional	26	$85.00	$126.00	$368.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $277.20 / $335.00 / $972.99	Professional	TC	$277.20	$335.00	$972.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $226.63 / $449.68	Professional		$217.19	$226.63	$449.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $66.80 / $105.00	Professional	26	$47.50	$66.80	$105.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $373.58 / $812.73	Professional		$266.20	$373.58	$812.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.06 / $78.63 / $138.99	Professional	26	$67.06	$78.63	$138.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.14 / $291.55 / $673.75	Professional	TC	$199.14	$291.55	$673.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.17 / $484.18 / $887.66	Professional		$263.17	$484.18	$887.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.99 / $91.68 / $159.19	Professional	26	$55.99	$91.68	$159.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.43 / $398.62 / $766.68	Professional	TC	$213.43	$398.62	$766.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $603.28 / $603.28	Facility	26	$466.08	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.10 / $561.52 / $2,819.97	Professional		$352.10	$561.52	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.77 / $94.65 / $469.00	Professional	26	$65.77	$94.65	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $279.83 / $478.63 / $2,495.53	Professional	TC	$279.83	$478.63	$2,495.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $517.13 / $517.13 / $517.13	Professional		$517.13	$517.13	$517.13
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $116.55 / $116.55 / $116.55	Professional	26	$116.55	$116.55	$116.55
United Facility/Professional Professional Modifier Low / Median / High Price $340.45 / $465.09 / $750.02	Professional		$340.45	$465.09	$750.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.36 / $80.76 / $147.25	Professional	26	$62.36	$80.76	$147.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.36 / $346.89 / $643.96	Professional	TC	$265.36	$346.89	$643.96