Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.08 / $310.79 / $5,085.25	Facility		$131.08	$310.79	$5,085.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $98.09 / $187.27	Facility	26	$68.92	$98.09	$187.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $170.58 / $857.79	Professional		$128.59	$170.58	$857.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.81 / $78.73 / $228.80	Professional	26	$51.81	$78.73	$228.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $64.30 / $73.59 / $126.08	Professional	52	$64.30	$73.59	$126.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.45 / $97.15 / $454.46	Professional	TC	$59.45	$97.15	$454.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $113.99 / $113.99	Professional		$105.38	$113.99	$113.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.91 / $64.58 / $115.92	Professional	26	$58.91	$64.58	$115.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.83 / $199.42 / $570.46	Professional		$156.83	$199.42	$570.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.43 / $88.01 / $134.97	Professional	26	$69.43	$88.01	$134.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.95 / $113.93 / $449.83	Professional	TC	$70.95	$113.93	$449.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $443.01 / $9,532.99	Facility		$205.04	$443.01	$9,532.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.06 / $94.06 / $94.06	Facility	26	$94.06	$94.06	$94.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $241.92 / $633.12	Professional		$118.60	$241.92	$633.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $89.27 / $165.65	Professional	26	$55.37	$89.27	$165.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.27 / $129.66 / $539.83	Professional	TC	$59.27	$129.66	$539.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $251.92 / $950.61	Facility		$135.19	$251.92	$950.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $188.75 / $366.35 / $366.35	Facility	26	$188.75	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $286.38 / $3,102.49	Professional		$163.02	$286.38	$3,102.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.04 / $105.08 / $551.37	Professional	26	$61.04	$105.08	$551.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.73 / $153.37 / $2,808.09	Professional	TC	$74.73	$153.37	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $210.85 / $450.05	Professional		$158.74	$210.85	$450.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $93.54 / $163.22	Professional	26	$59.65	$93.54	$163.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.72 / $110.14 / $344.49	Professional	TC	$73.72	$110.14	$344.49