Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.63 / $105.00 / $172.77	Facility	26	$66.63	$105.00	$172.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $260.95 / $1,320.50	Professional		$198.16	$260.95	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.62 / $90.05 / $169.84	Professional	26	$66.62	$90.05	$169.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.50 / $151.16 / $355.88	Professional	TC	$132.50	$151.16	$355.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.39 / $165.39 / $165.39	Professional		$165.39	$165.39	$165.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.98 / $97.02 / $112.76	Professional	26	$55.98	$97.02	$112.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.61 / $280.42 / $470.98	Professional		$232.61	$280.42	$470.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.23 / $91.79 / $166.01	Professional	26	$79.23	$91.79	$166.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.38 / $178.94 / $314.04	Professional	TC	$153.38	$178.94	$314.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $326.18 / $521.54	Professional		$199.28	$326.18	$521.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.77 / $108.48 / $188.68	Professional	26	$65.77	$108.48	$188.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.93 / $214.20 / $347.93	Professional	TC	$127.93	$214.20	$347.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.04 / $707.68 / $707.68	Facility	26	$549.04	$707.68	$707.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $546.10 / $1,484.56	Professional		$251.89	$546.10	$1,484.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $104.00 / $478.82	Professional	26	$73.73	$104.00	$478.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $168.38 / $459.93 / $1,005.68	Professional	TC	$168.38	$459.93	$1,005.68
United Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $396.03 / $1,049.39	Professional		$248.48	$396.03	$1,049.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.68 / $95.52 / $163.84	Professional	26	$72.68	$95.52	$163.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.32 / $260.39 / $945.14	Professional	TC	$160.32	$260.39	$945.14