Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.43 / $118.31 / $192.91	Facility	26	$108.43	$118.31	$192.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $506.22 / $2,193.31	Professional		$425.00	$506.22	$2,193.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.17 / $140.00 / $394.25	Professional	26	$105.17	$140.00	$394.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $307.97 / $382.45 / $972.99	Professional	TC	$307.97	$382.45	$972.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.45 / $126.35 / $126.35	Professional	26	$65.45	$126.35	$126.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.61 / $467.29 / $937.41	Professional		$355.61	$467.29	$937.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.35 / $113.60 / $187.39	Professional	26	$88.35	$113.60	$187.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $267.26 / $354.96 / $738.02	Professional	TC	$267.26	$354.96	$738.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $530.73 / $951.36	Professional		$292.48	$530.73	$951.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.12 / $121.40 / $208.88	Professional	26	$74.12	$121.40	$208.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.76 / $424.44 / $800.91	Professional	TC	$225.76	$424.44	$800.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $615.67 / $789.92 / $789.92	Facility	26	$615.67	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.93 / $576.58 / $3,007.15	Professional		$380.93	$576.58	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.74 / $114.62 / $848.54	Professional	26	$86.74	$114.62	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $290.06 / $472.73 / $2,544.17	Professional	TC	$290.06	$472.73	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $365.45 / $486.77 / $798.34	Professional		$365.45	$486.77	$798.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.18 / $106.57 / $182.62	Professional	26	$82.18	$106.57	$182.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.92 / $421.76 / $705.98	Professional	TC	$278.92	$421.76	$705.98