Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.04 / $63.14 / $103.89	Facility	26	$52.04	$63.14	$103.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $158.36 / $522.99	Professional		$130.90	$158.36	$522.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $54.43 / $193.80	Professional	26	$44.69	$54.43	$193.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.58 / $102.40 / $326.76	Professional	TC	$82.58	$102.40	$326.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $76.42 / $76.42	Professional	26	$34.79	$76.42	$76.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $145.35 / $305.01	Professional		$101.89	$145.35	$305.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.04 / $61.59 / $101.40	Professional	26	$48.04	$61.59	$101.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.85 / $83.69 / $203.60	Professional	TC	$53.85	$83.69	$203.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $202.67 / $348.87	Professional		$113.78	$202.67	$348.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $65.38 / $115.87	Professional	26	$39.69	$65.38	$115.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.67 / $134.86 / $244.42	Professional	TC	$76.67	$134.86	$244.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $327.27 / $422.56 / $422.56	Facility	26	$327.27	$422.56	$422.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $213.44 / $1,035.22	Professional		$146.88	$213.44	$1,035.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $66.68 / $287.12	Professional	26	$48.44	$66.68	$287.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.15 / $152.08 / $780.77	Professional	TC	$97.15	$152.08	$780.77
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $81.89 / $81.89 / $81.89	Professional	26	$81.89	$81.89	$81.89
United Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $187.40 / $333.38	Professional		$139.54	$187.40	$333.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.58 / $57.90 / $98.88	Professional	26	$46.58	$57.90	$98.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.00 / $134.69 / $219.51	Professional	TC	$93.00	$134.69	$219.51