Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.55 / $81.16 / $99.62	Facility	26	$60.55	$81.16	$99.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $709.48 / $709.48	Professional		$204.54	$709.48	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.86 / $257.12 / $257.12	Professional	26	$76.86	$257.12	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.68 / $452.37 / $452.37	Professional	TC	$127.68	$452.37	$452.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $129.43 / $177.99	Professional		$83.01	$129.43	$177.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.60 / $52.26 / $67.86	Professional	26	$34.60	$52.26	$67.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.49 / $136.00 / $323.23	Professional		$110.49	$136.00	$323.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $53.03 / $86.84	Professional	26	$43.88	$53.03	$86.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.59 / $84.38 / $245.94	Professional	TC	$66.59	$84.38	$245.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $185.04 / $185.04	Professional		$185.04	$185.04	$185.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.69 / $68.69 / $68.69	Professional	26	$68.69	$68.69	$68.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.35 / $116.35 / $116.35	Professional	TC	$116.35	$116.35	$116.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $420.16 / $420.16	Facility	26	$331.68	$420.16	$420.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $173.43 / $968.53	Professional		$121.51	$173.43	$968.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $54.74 / $279.39	Professional	26	$42.16	$54.74	$279.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.81 / $119.63 / $774.95	Professional	TC	$75.81	$119.63	$774.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $204.69 / $204.69	Professional		$204.69	$204.69	$204.69
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $82.04 / $82.04 / $82.04	Professional	26	$82.04	$82.04	$82.04
United Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $154.77 / $283.52	Professional		$120.79	$154.77	$283.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $52.02 / $103.35	Professional	26	$42.56	$52.02	$103.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.40 / $95.67 / $185.54	Professional	TC	$74.40	$95.67	$185.54