Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.60 / $32.46 / $52.41	Facility	26	$24.60	$32.46	$52.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $120.36 / $397.50	Professional		$92.14	$120.36	$397.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $27.68 / $119.25	Professional	26	$22.63	$27.68	$119.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.84 / $95.75 / $182.37	Professional	TC	$67.84	$95.75	$182.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $30.66 / $37.59	Professional	26	$18.59	$30.66	$37.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $137.59 / $208.09	Professional		$111.49	$137.59	$208.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $34.38 / $55.10	Professional	26	$26.39	$34.38	$55.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.00 / $102.50 / $164.10	Professional	TC	$73.00	$102.50	$164.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $132.28 / $259.08	Professional		$84.05	$132.28	$259.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $36.27 / $55.88	Professional	26	$22.07	$36.27	$55.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.35 / $98.71 / $193.17	Professional	TC	$60.35	$98.71	$193.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $113.54 / $113.54	Facility	26	$59.27	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $157.63 / $841.81	Professional		$92.20	$157.63	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.03 / $36.29 / $205.77	Professional	26	$26.03	$36.29	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.51 / $125.16 / $680.78	Professional	TC	$66.51	$125.16	$680.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $45.62 / $45.62 / $45.62	Professional	26	$45.62	$45.62	$45.62
United Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $137.36 / $235.38	Professional		$92.20	$137.36	$235.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $31.06 / $51.75	Professional	26	$25.21	$31.06	$51.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.97 / $106.62 / $187.25	Professional	TC	$66.97	$106.62	$187.25