Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.61 / $157.30 / $258.82	Facility	26	$130.61	$157.30	$258.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $266.39 / $799.37	Professional		$225.67	$266.39	$799.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.23 / $130.61 / $295.33	Professional	26	$106.23	$130.61	$295.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.30 / $126.01 / $500.14	Professional	TC	$104.30	$126.01	$500.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.15 / $373.15 / $373.15	Professional		$373.15	$373.15	$373.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $295.27 / $554.07	Professional		$216.27	$295.27	$554.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.87 / $139.36 / $232.33	Professional	26	$118.87	$139.36	$232.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.40 / $151.08 / $369.42	Professional	TC	$97.40	$151.08	$369.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.66 / $129.66 / $129.66	Facility	26	$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $586.02 / $988.15	Professional		$352.79	$586.02	$988.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.91 / $157.38 / $265.44	Professional	26	$93.91	$157.38	$265.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.24 / $424.42 / $726.06	Professional	TC	$253.24	$424.42	$726.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $830.40 / $1,061.59 / $1,061.59	Facility	26	$830.40	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.56 / $591.33 / $1,915.39	Professional		$420.56	$591.33	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $117.93 / $148.68 / $717.76	Professional	26	$117.93	$148.68	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $311.06 / $455.58 / $1,435.54	Professional	TC	$311.06	$455.58	$1,435.54
United Facility/Professional Professional Modifier Low / Median / High Price $420.56 / $563.05 / $976.49	Professional		$420.56	$563.05	$976.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.58 / $143.07 / $245.40	Professional	26	$111.58	$143.07	$245.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $307.98 / $429.82 / $724.68	Professional	TC	$307.98	$429.82	$724.68