Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.95 / $125.95 / $177.09	Facility	26	$91.95	$125.95	$177.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.75 / $475.00 / $2,051.52	Professional		$353.75	$475.00	$2,051.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.24 / $140.00 / $449.06	Professional	26	$99.24	$140.00	$449.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.92 / $359.11 / $931.29	Professional	TC	$297.92	$359.11	$931.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $234.12 / $465.56	Professional		$224.55	$234.12	$465.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.02 / $85.54 / $121.56	Professional	26	$57.02	$85.54	$121.56
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $199.06 / $199.06 / $199.06	Professional	TC	$199.06	$199.06	$199.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.15 / $415.73 / $947.81	Professional		$334.15	$415.73	$947.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.58 / $94.49 / $167.61	Professional	26	$80.58	$94.49	$167.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.57 / $335.53 / $822.89	Professional	TC	$253.57	$335.53	$822.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.30 / $88.30 / $88.30	Facility	26	$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $506.84 / $929.21	Professional		$272.08	$506.84	$929.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.26 / $109.83 / $191.20	Professional	26	$67.26	$109.83	$191.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.14 / $402.81 / $785.04	Professional	TC	$211.14	$402.81	$785.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $723.52 / $723.52	Facility	26	$558.79	$723.52	$723.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $612.41 / $3,348.15	Professional		$364.63	$612.41	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.92 / $114.37 / $586.14	Professional	26	$78.92	$114.37	$586.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $278.43 / $506.10 / $2,941.88	Professional	TC	$278.43	$506.10	$2,941.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $535.39 / $535.39 / $535.39	Professional		$535.39	$535.39	$535.39
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $139.79 / $139.79 / $139.79	Professional	26	$139.79	$139.79	$139.79
United Facility/Professional Professional Modifier Low / Median / High Price $344.42 / $519.90 / $900.36	Professional		$344.42	$519.90	$900.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.36 / $97.85 / $167.46	Professional	26	$75.36	$97.85	$167.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.85 / $383.95 / $871.96	Professional	TC	$261.85	$383.95	$871.96