Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.54 / $148.69 / $231.93	Facility	26	$122.54	$148.69	$231.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.05 / $552.66 / $2,623.89	Professional		$408.05	$552.66	$2,623.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.10 / $156.10 / $550.00	Professional	26	$108.10	$156.10	$550.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $433.49 / $1,088.43	Professional	TC	$335.00	$433.49	$1,088.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $268.57 / $575.59	Professional		$220.05	$268.57	$575.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $106.70 / $152.85	Professional	26	$75.59	$106.70	$152.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $239.62 / $239.62 / $239.62	Professional	TC	$239.62	$239.62	$239.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.35 / $544.62 / $1,268.26	Professional		$414.35	$544.62	$1,268.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.04 / $131.66 / $223.50	Professional	26	$106.04	$131.66	$223.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $308.31 / $409.47 / $1,044.77	Professional	TC	$308.31	$409.47	$1,044.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $651.00 / $1,409.35	Professional		$335.18	$651.00	$1,409.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.85 / $145.19 / $250.28	Professional	26	$88.85	$145.19	$250.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.03 / $496.24 / $1,141.66	Professional	TC	$254.03	$496.24	$1,141.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $953.92 / $953.92	Facility	26	$745.12	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $838.44 / $5,981.06	Professional		$451.57	$838.44	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.13 / $149.88 / $883.52	Professional	26	$105.13	$149.88	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $337.48 / $662.40 / $5,438.76	Professional	TC	$337.48	$662.40	$5,438.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $661.93 / $661.93 / $661.93	Professional		$661.93	$661.93	$661.93
United Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $641.67 / $1,397.61	Professional		$434.70	$641.67	$1,397.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.99 / $128.58 / $241.36	Professional	26	$96.99	$128.58	$241.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.12 / $488.08 / $1,074.56	Professional	TC	$316.12	$488.08	$1,074.56