Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $173.78 / $380.19	Facility	26	$72.44	$173.78	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $1,096.48	Professional		$186.21	$263.03	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $190.55	Professional	26	$63.10	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $371.54	Professional	TC	$123.03	$158.49	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $239.88	Professional		$158.49	$158.49	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $58.88 / $107.15	Professional	26	$56.23	$58.88	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $426.58	Professional		$234.42	$275.42	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $89.13 / $144.54	Professional	26	$79.43	$89.13	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $177.83 / $288.40	Professional	TC	$154.88	$177.83	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $354.81	Professional		$229.09	$234.42	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $81.28 / $125.89	Professional	26	$79.43	$81.28	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $154.88 / $234.42	Professional	TC	$147.91	$154.88	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $602.56	Professional		$199.53	$323.59	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $199.53	Professional	26	$66.07	$102.33	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $213.80 / $407.38	Professional	TC	$128.82	$213.80	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $707.95 / $707.95	Facility	26	$549.54	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $1,479.11	Professional		$245.47	$588.84	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $478.63	Professional	26	$69.18	$102.33	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $457.09 / $1,000.00	Professional	TC	$154.88	$457.09	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $1,023.29	Professional		$229.09	$398.11	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $154.88	Professional	26	$70.79	$89.13	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $263.03 / $912.01	Professional	TC	$154.88	$263.03	$912.01