Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $173.78 / $331.13	Facility	26	$70.79	$173.78	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $549.54	Professional		$204.17	$263.03	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $93.33	Professional	26	$51.29	$64.57	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $190.55 / $446.68	Professional	TC	$147.91	$190.55	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $707.95	Professional		$208.93	$263.03	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $117.49	Professional	26	$61.66	$75.86	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $575.44	Professional	TC	$144.54	$186.21	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $380.19	Professional		$223.87	$263.03	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $72.44 / $104.71	Professional	26	$64.57	$72.44	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $186.21 / $275.42	Professional	TC	$158.49	$186.21	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $933.25	Professional		$194.98	$338.84	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $123.03	Professional	26	$54.95	$87.10	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $870.96	Professional	TC	$138.04	$245.47	$870.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $575.44 / $575.44	Facility	26	$446.68	$575.44	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $3,388.44	Professional		$199.53	$371.54	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $436.52	Professional	26	$54.95	$77.62	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $3,019.95	Professional	TC	$144.54	$257.04	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $645.65	Professional		$204.17	$295.12	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $131.83	Professional	26	$57.54	$72.44	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $208.93 / $537.03	Professional	TC	$147.91	$208.93	$537.03