Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.40 / $148.69 / $232.63	Facility	26	$129.40	$148.69	$232.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $586.99 / $3,047.76	Professional		$425.00	$586.99	$3,047.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.07 / $157.12 / $519.00	Professional	26	$108.07	$157.12	$519.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $469.74 / $2,121.39	Professional	TC	$335.00	$469.74	$2,121.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.13 / $611.98 / $611.98	Professional		$295.13	$611.98	$611.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $106.70 / $152.85	Professional	26	$75.59	$106.70	$152.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.92 / $548.48 / $1,268.65	Professional		$438.92	$548.48	$1,268.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.04 / $124.27 / $223.50	Professional	26	$106.04	$124.27	$223.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.88 / $442.13 / $1,045.14	Professional	TC	$332.88	$442.13	$1,045.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $682.40 / $1,410.23	Professional		$356.01	$682.40	$1,410.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.85 / $145.46 / $250.28	Professional	26	$88.85	$145.46	$250.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.47 / $534.39 / $1,219.17	Professional	TC	$275.47	$534.39	$1,219.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $953.92 / $953.92	Facility	26	$745.12	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.87 / $889.15 / $5,981.06	Professional		$478.87	$889.15	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.21 / $149.88 / $672.78	Professional	26	$105.21	$149.88	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $365.46 / $708.25 / $5,438.76	Professional	TC	$365.46	$708.25	$5,438.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $703.78 / $703.78 / $703.78	Professional		$703.78	$703.78	$703.78
United Facility/Professional Professional Modifier Low / Median / High Price $461.12 / $684.77 / $1,501.63	Professional		$461.12	$684.77	$1,501.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.75 / $127.93 / $223.58	Professional	26	$100.75	$127.93	$223.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $342.54 / $491.52 / $1,132.84	Professional	TC	$342.54	$491.52	$1,132.84