Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.06 / $133.16 / $206.59	Facility	26	$119.06	$133.16	$206.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.13 / $507.63 / $1,506.28	Professional		$386.13	$507.63	$1,506.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.92 / $127.99 / $389.09	Professional	26	$93.92	$127.99	$389.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.91 / $350.81 / $1,130.99	Professional	TC	$282.91	$350.81	$1,130.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $105.99 / $155.41	Professional	26	$77.31	$105.99	$155.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.66 / $471.87 / $1,004.75	Professional		$358.66	$471.87	$1,004.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.89 / $133.94 / $217.15	Professional	26	$107.89	$133.94	$217.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.77 / $337.05 / $811.47	Professional	TC	$250.77	$337.05	$811.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.52 / $118.52 / $118.52	Facility	26	$118.52	$118.52	$118.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $583.41 / $974.20	Professional		$332.22	$583.41	$974.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.06 / $147.30 / $259.12	Professional	26	$90.06	$147.30	$259.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.84 / $430.87 / $778.91	Professional	TC	$237.84	$430.87	$778.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $757.60 / $969.20 / $969.20	Facility	26	$757.60	$969.20	$969.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.81 / $621.14 / $2,573.48	Professional		$400.81	$621.14	$2,573.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.64 / $136.46 / $653.20	Professional	26	$110.64	$136.46	$653.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $288.22 / $479.26 / $2,038.19	Professional	TC	$288.22	$479.26	$2,038.19
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $188.53 / $188.53 / $188.53	Professional	26	$188.53	$188.53	$188.53
United Facility/Professional Professional Modifier Low / Median / High Price $398.40 / $584.21 / $931.01	Professional		$398.40	$584.21	$931.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.29 / $134.01 / $242.21	Professional	26	$106.29	$134.01	$242.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.20 / $396.45 / $713.70	Professional	TC	$279.20	$396.45	$713.70