Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.92 / $48.71 / $86.72	Facility	26	$36.92	$48.71	$86.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $121.94 / $583.00	Professional		$101.39	$121.94	$583.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $50.58 / $159.79	Professional	26	$31.76	$50.58	$159.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $82.19 / $162.12	Professional	TC	$71.14	$82.19	$162.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $89.98 / $89.98	Professional		$89.98	$89.98	$89.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.09 / $47.76 / $54.97	Professional	26	$29.09	$47.76	$54.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $137.00 / $209.80	Professional		$110.94	$137.00	$209.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.38 / $44.81 / $72.00	Professional	26	$34.38	$44.81	$72.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.56 / $90.19 / $139.44	Professional	TC	$76.56	$90.19	$139.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.57 / $43.57 / $43.57	Facility	26	$43.57	$43.57	$43.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $145.77 / $243.52	Professional		$92.59	$145.77	$243.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.12 / $48.59 / $83.23	Professional	26	$30.12	$48.59	$83.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.06 / $100.62 / $170.96	Professional	TC	$61.06	$100.62	$170.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.13 / $172.60 / $172.60	Facility	26	$90.13	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $151.27 / $812.81	Professional		$104.85	$151.27	$812.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.47 / $54.46 / $240.49	Professional	26	$35.47	$54.46	$240.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $101.87 / $572.32	Professional	TC	$68.70	$101.87	$572.32
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $69.41 / $69.41 / $69.41	Professional	26	$69.41	$69.41	$69.41
United Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $134.76 / $231.32	Professional		$103.99	$134.76	$231.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $43.30 / $72.20	Professional	26	$35.28	$43.30	$72.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.17 / $88.36 / $159.12	Professional	TC	$68.17	$88.36	$159.12