Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $369.33 / $811.53	Facility		$110.35	$369.33	$811.53
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.87 / $31.64 / $55.82	Facility	26	$25.87	$31.64	$55.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $110.36 / $222.15	Professional		$67.84	$110.36	$222.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $27.35 / $67.79	Professional	26	$23.55	$27.35	$67.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.89 / $84.49 / $126.56	Professional	TC	$49.89	$84.49	$126.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $22.18 / $22.18	Professional	26	$22.18	$22.18	$22.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $72.84 / $72.84 / $72.84	Professional	TC	$72.84	$72.84	$72.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $112.42 / $188.75	Professional		$91.80	$112.42	$188.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $34.21 / $54.47	Professional	26	$27.38	$34.21	$54.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.43 / $72.93 / $144.79	Professional	TC	$64.43	$72.93	$144.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $115.31 / $227.38	Professional		$79.42	$115.31	$227.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.45 / $33.96 / $60.16	Professional	26	$19.45	$33.96	$60.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.36 / $84.67 / $158.22	Professional	TC	$58.36	$84.67	$158.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $149.22 / $242.65	Facility		$95.87	$149.22	$242.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.05 / $136.28 / $136.28	Facility	26	$62.05	$136.28	$136.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $124.11 / $752.82	Professional		$79.31	$124.11	$752.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.09 / $33.15 / $169.69	Professional	26	$27.09	$33.15	$169.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.22 / $91.42 / $583.14	Professional	TC	$51.22	$91.42	$583.14
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $11.37 / $11.37	Professional	26	$11.37	$11.37	$11.37
United Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $115.22 / $213.83	Professional		$79.31	$115.22	$213.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $31.88 / $54.08	Professional	26	$25.66	$31.88	$54.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.22 / $82.50 / $144.62	Professional	TC	$51.22	$82.50	$144.62