Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.40 / $96.76 / $146.57	Facility	26	$82.40	$96.76	$146.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $375.00 / $1,453.47	Professional		$226.51	$375.00	$1,453.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.56 / $140.00 / $357.00	Professional	26	$73.56	$140.00	$357.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.38 / $244.98 / $889.00	Professional	TC	$178.38	$244.98	$889.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $138.06 / $138.06	Professional		$138.06	$138.06	$138.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $71.72 / $108.75	Professional	26	$50.95	$71.72	$108.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $341.88 / $826.08	Professional		$221.61	$341.88	$826.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.27 / $90.00 / $151.38	Professional	26	$72.27	$90.00	$151.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.34 / $230.34 / $655.36	Professional	TC	$149.34	$230.34	$655.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $359.29 / $770.26	Professional		$170.93	$359.29	$770.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $98.89 / $171.71	Professional	26	$60.26	$98.89	$171.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.17 / $269.86 / $653.27	Professional	TC	$114.17	$269.86	$653.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $500.48 / $647.12 / $647.12	Facility	26	$500.48	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $497.51 / $2,831.41	Professional		$227.21	$497.51	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.11 / $102.55 / $579.54	Professional	26	$71.11	$102.55	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.13 / $401.36 / $2,465.48	Professional	TC	$151.13	$401.36	$2,465.48
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $125.06 / $125.06 / $125.06	Professional	26	$125.06	$125.06	$125.06
United Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $332.21 / $761.91	Professional		$221.84	$332.21	$761.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $88.36 / $150.13	Professional	26	$67.56	$88.36	$150.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.93 / $245.98 / $612.91	Professional	TC	$147.93	$245.98	$612.91