Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.80 / $33.36 / $63.78	Facility	26	$26.80	$33.36	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $113.67 / $281.05	Professional		$101.09	$113.67	$281.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $26.87 / $71.86	Professional	26	$24.26	$26.87	$71.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $89.11 / $183.00	Professional	TC	$75.26	$89.11	$183.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $30.80 / $43.41	Professional	26	$21.82	$30.80	$43.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $126.46 / $211.79	Professional		$101.85	$126.46	$211.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $35.11 / $56.64	Professional	26	$28.71	$35.11	$56.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.14 / $92.54 / $166.25	Professional	TC	$73.14	$92.54	$166.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Facility	26	$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $142.01 / $260.20	Professional		$92.69	$142.01	$260.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $39.02 / $61.64	Professional	26	$23.25	$39.02	$61.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.36 / $102.00 / $208.71	Professional	TC	$69.36	$102.00	$208.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.28 / $125.66 / $125.66	Facility	26	$64.28	$125.66	$125.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $157.38 / $873.78	Professional		$106.45	$157.38	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.17 / $40.49 / $198.13	Professional	26	$28.17	$40.49	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.52 / $121.65 / $695.99	Professional	TC	$78.52	$121.65	$695.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $49.92 / $49.92 / $49.92	Professional	26	$49.92	$49.92	$49.92
United Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $131.44 / $233.39	Professional		$105.34	$131.44	$233.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $35.07 / $58.03	Professional	26	$27.83	$35.07	$58.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.51 / $98.85 / $188.30	Professional	TC	$77.51	$98.85	$188.30