Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $131.83 / $269.15	Facility	26	$64.57	$131.83	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $602.56	Professional		$169.82	$245.47	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $177.83	Professional	26	$51.29	$64.57	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $190.55 / $407.38	Professional	TC	$128.82	$190.55	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $44.67 / $100.00	Professional	26	$42.66	$44.67	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $602.56	Professional		$234.42	$309.03	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $120.23	Professional	26	$60.26	$75.86	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $467.74	Professional	TC	$173.78	$234.42	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $371.54	Professional		$204.17	$229.09	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $63.10 / $95.50	Professional	26	$60.26	$63.10	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $151.36 / $275.42	Professional	TC	$144.54	$151.36	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $630.96	Professional		$177.83	$331.13	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $151.36	Professional	26	$50.12	$79.43	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $512.86	Professional	TC	$125.89	$251.19	$512.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $537.03 / $537.03	Facility	26	$416.87	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $2,089.30	Professional		$223.87	$389.05	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $380.19	Professional	26	$54.95	$85.11	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $316.23 / $1,737.80	Professional	TC	$158.49	$316.23	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $512.86	Professional		$208.93	$309.03	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $69.18 / $117.49	Professional	26	$53.70	$69.18	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $229.09 / $380.19	Professional	TC	$151.36	$229.09	$380.19