Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.90 / $73.54 / $132.01	Facility	26	$65.90	$73.54	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.69 / $252.81 / $1,011.00	Professional		$205.69	$252.81	$1,011.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.63 / $65.90 / $244.12	Professional	26	$55.63	$65.90	$244.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.44 / $175.12 / $825.47	Professional	TC	$144.44	$175.12	$825.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $59.48 / $90.41	Professional	26	$42.39	$59.48	$90.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.37 / $305.29 / $702.10	Professional		$234.37	$305.29	$702.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.16 / $77.36 / $127.10	Professional	26	$60.16	$77.36	$127.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.22 / $231.40 / $588.97	Professional	TC	$174.22	$231.40	$588.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $335.48 / $648.40	Professional		$169.57	$335.48	$648.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $82.25 / $143.99	Professional	26	$50.12	$82.25	$143.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.32 / $262.00 / $529.21	Professional	TC	$123.32	$262.00	$529.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $414.72 / $537.20 / $537.20	Facility	26	$414.72	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $392.05 / $2,082.64	Professional		$236.75	$392.05	$2,082.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $82.64 / $381.41	Professional	26	$60.64	$82.64	$381.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $174.16 / $326.51 / $1,754.89	Professional	TC	$174.16	$326.51	$1,754.89
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $103.97 / $103.97 / $103.97	Professional	26	$103.97	$103.97	$103.97
United Facility/Professional Professional Modifier Low / Median / High Price $218.39 / $305.80 / $529.57	Professional		$218.39	$305.80	$529.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.32 / $73.72 / $144.19	Professional	26	$58.32	$73.72	$144.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.58 / $249.07 / $416.94	Professional	TC	$168.58	$249.07	$416.94