Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.49 / $139.19 / $237.08	Facility	26	$129.49	$139.19	$237.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $361.68 / $1,678.41	Professional		$283.87	$361.68	$1,678.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.48 / $139.19 / $523.97	Professional	26	$105.48	$139.19	$523.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.47 / $235.21 / $689.62	Professional	TC	$181.47	$235.21	$689.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.61 / $214.61 / $543.47	Professional		$214.61	$214.61	$543.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $86.13 / $141.25 / $157.55	Professional	26	$86.13	$141.25	$157.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.18 / $391.75 / $696.01	Professional		$291.18	$391.75	$696.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.91 / $139.37 / $243.15	Professional	26	$116.91	$139.37	$243.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.26 / $250.20 / $537.58	Professional	TC	$174.26	$250.20	$537.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.92 / $544.11 / $904.04	Professional		$294.92	$544.11	$904.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.53 / $158.59 / $279.92	Professional	26	$97.53	$158.59	$279.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.73 / $367.09 / $714.58	Professional	TC	$187.73	$367.09	$714.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $822.80 / $1,056.00 / $1,056.00	Facility	26	$822.80	$1,056.00	$1,056.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.92 / $549.54 / $2,091.94	Professional		$359.92	$549.54	$2,091.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $119.09 / $146.34 / $711.82	Professional	26	$119.09	$146.34	$711.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $243.97 / $390.57 / $1,773.11	Professional	TC	$243.97	$390.57	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $359.67 / $499.49 / $903.10	Professional		$359.67	$499.49	$903.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.81 / $143.47 / $262.45	Professional	26	$108.81	$143.47	$262.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.06 / $345.50 / $621.87	Professional	TC	$236.06	$345.50	$621.87