Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.82 / $53.88 / $96.81	Facility	26	$40.82	$53.88	$96.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $134.08 / $629.73	Professional		$116.34	$134.08	$629.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $42.10 / $138.18	Professional	26	$31.76	$42.10	$138.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.76 / $93.25 / $224.83	Professional	TC	$79.76	$93.25	$224.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $97.60 / $225.72	Professional		$97.60	$97.60	$225.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.59 / $47.11 / $63.15	Professional	26	$32.59	$47.11	$63.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $150.76 / $239.92	Professional		$123.07	$150.76	$239.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $45.10 / $72.00	Professional	26	$34.07	$45.10	$72.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.00 / $104.60 / $167.91	Professional	TC	$84.00	$104.60	$167.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $48.64 / $48.64	Facility	26	$48.64	$48.64	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $163.90 / $276.07	Professional		$103.70	$163.90	$276.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.08 / $48.42 / $86.25	Professional	26	$31.08	$48.42	$86.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.67 / $118.59 / $198.60	Professional	TC	$73.67	$118.59	$198.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.12 / $190.76 / $190.76	Facility	26	$100.12	$190.76	$190.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $168.04 / $927.52	Professional		$119.64	$168.04	$927.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $57.49 / $268.38	Professional	26	$36.29	$57.49	$268.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.38 / $117.20 / $659.08	Professional	TC	$80.38	$117.20	$659.08
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $76.95 / $76.95 / $76.95	Professional	26	$76.95	$76.95	$76.95
United Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $152.34 / $263.31	Professional		$119.64	$152.34	$263.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $48.57 / $78.53	Professional	26	$35.36	$48.57	$78.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.75 / $103.63 / $189.12	Professional	TC	$79.75	$103.63	$189.12