Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.64 / $110.31 / $181.26	Facility	26	$98.64	$110.31	$181.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $392.47 / $1,565.46	Professional		$272.86	$392.47	$1,565.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.23 / $106.03 / $499.77	Professional	26	$82.23	$106.03	$499.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.33 / $220.00 / $976.14	Professional	TC	$176.33	$220.00	$976.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.50 / $89.58 / $128.33	Professional	26	$63.50	$89.58	$128.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $343.90 / $783.50	Professional		$263.64	$343.90	$783.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.39 / $107.41 / $191.24	Professional	26	$89.39	$107.41	$191.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.26 / $245.32 / $606.95	Professional	TC	$174.26	$245.32	$606.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.06 / $98.06 / $98.06	Facility	26	$98.06	$98.06	$98.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $458.82 / $846.44	Professional		$256.89	$458.82	$846.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.02 / $122.28 / $216.85	Professional	26	$75.02	$122.28	$216.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.92 / $353.51 / $680.51	Professional	TC	$185.92	$353.51	$680.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $625.36 / $801.92 / $801.92	Facility	26	$625.36	$801.92	$801.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $555.49 / $3,101.53	Professional		$328.42	$555.49	$3,101.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.85 / $122.53 / $660.44	Professional	26	$91.85	$122.53	$660.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $232.98 / $422.86 / $2,625.91	Professional	TC	$232.98	$422.86	$2,625.91
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $155.87 / $155.87 / $155.87	Professional	26	$155.87	$155.87	$155.87
United Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $448.00 / $785.37	Professional		$309.66	$448.00	$785.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.07 / $108.20 / $175.09	Professional	26	$86.07	$108.20	$175.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.10 / $283.42 / $530.90	Professional	TC	$212.10	$283.42	$530.90