Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.66 / $119.82 / $187.29	Facility	26	$97.66	$119.82	$187.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $475.00 / $1,740.03	Professional		$372.64	$475.00	$1,740.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.84 / $134.18 / $478.18	Professional	26	$101.84	$134.18	$478.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.79 / $336.19 / $746.08	Professional	TC	$270.79	$336.19	$746.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $104.79 / $135.80	Professional	26	$62.89	$104.79	$135.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.54 / $467.27 / $1,007.96	Professional		$323.54	$467.27	$1,007.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.83 / $101.00 / $180.09	Professional	26	$85.83	$101.00	$180.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.71 / $366.68 / $827.86	Professional	TC	$237.71	$366.68	$827.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $511.81 / $1,019.75	Professional		$262.89	$511.81	$1,019.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.54 / $116.59 / $202.97	Professional	26	$71.54	$116.59	$202.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.70 / $405.39 / $880.57	Professional	TC	$197.70	$405.39	$880.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $764.32 / $764.32	Facility	26	$593.12	$764.32	$764.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.92 / $662.24 / $3,392.38	Professional		$353.92	$662.24	$3,392.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.60 / $121.28 / $667.05	Professional	26	$84.60	$121.28	$667.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.95 / $531.73 / $2,981.99	Professional	TC	$263.95	$531.73	$2,981.99
United Facility/Professional Professional Modifier Low / Median / High Price $345.29 / $513.79 / $954.83	Professional		$345.29	$513.79	$954.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.48 / $102.82 / $290.94	Professional	26	$78.48	$102.82	$290.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.35 / $405.12 / $817.45	Professional	TC	$258.35	$405.12	$817.45