Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.31 / $169.81 / $278.33	Facility	26	$160.31	$169.81	$278.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $547.24 / $2,372.59	Professional		$425.00	$547.24	$2,372.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $186.15 / $502.91	Professional	26	$140.00	$186.15	$502.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.31 / $368.50 / $1,020.25	Professional	TC	$297.31	$368.50	$1,020.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.53 / $127.36 / $156.99	Professional	26	$90.53	$127.36	$156.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.65 / $502.14 / $1,182.03	Professional		$387.65	$502.14	$1,182.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $126.30 / $156.00 / $267.45	Professional	26	$126.30	$156.00	$267.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.35 / $347.09 / $933.33	Professional	TC	$261.35	$347.09	$933.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $609.13 / $1,095.91	Professional		$333.28	$609.13	$1,095.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.00 / $172.50 / $295.11	Professional	26	$107.00	$172.50	$295.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.43 / $424.69 / $874.26	Professional	TC	$217.43	$424.69	$874.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $888.48 / $1,142.00 / $1,142.00	Facility	26	$888.48	$1,142.00	$1,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.94 / $684.34 / $3,919.13	Professional		$415.94	$684.34	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.77 / $174.61 / $771.93	Professional	26	$123.77	$174.61	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $503.71 / $3,292.02	Professional	TC	$285.08	$503.71	$3,292.02
United Facility/Professional Professional Modifier Low / Median / High Price $411.24 / $600.04 / $1,077.44	Professional		$411.24	$600.04	$1,077.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $118.37 / $152.76 / $263.70	Professional	26	$118.37	$152.76	$263.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.69 / $414.82 / $838.53	Professional	TC	$270.69	$414.82	$838.53