Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.40 / $142.13 / $225.28	Facility	26	$129.40	$142.13	$225.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $508.26 / $2,807.61	Professional		$322.00	$508.26	$2,807.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.58 / $162.63 / $502.00	Professional	26	$118.58	$162.63	$502.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $289.57 / $359.56 / $1,020.25	Professional	TC	$289.57	$359.56	$1,020.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $254.51 / $271.30	Professional		$118.32	$254.51	$271.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $114.00 / $161.33	Professional	26	$75.59	$114.00	$161.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $449.00 / $449.00 / $449.00	Professional	TC	$449.00	$449.00	$449.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.92 / $547.27 / $1,268.65	Professional		$359.92	$547.27	$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 $253.88 / $404.34 / $1,045.14	Professional	TC	$253.88	$404.34	$1,045.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $614.08 / $1,373.39	Professional		$293.52	$614.08	$1,373.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.54 / $144.97 / $253.98	Professional	26	$88.54	$144.97	$253.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.42 / $461.36 / $1,219.17	Professional	TC	$211.42	$461.36	$1,219.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $950.80 / $950.80	Facility	26	$745.12	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $809.62 / $5,978.92	Professional		$392.87	$809.62	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.86 / $152.43 / $733.09	Professional	26	$104.86	$152.43	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $282.05 / $658.77 / $5,438.76	Professional	TC	$282.05	$658.77	$5,438.76
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $185.53 / $185.53 / $185.53	Professional	26	$185.53	$185.53	$185.53
United Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $587.52 / $1,436.57	Professional		$383.76	$587.52	$1,436.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.89 / $127.55 / $238.06	Professional	26	$103.89	$127.55	$238.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.74 / $430.99 / $1,031.33	Professional	TC	$277.74	$430.99	$1,031.33