Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.82 / $44.76 / $84.17	Facility	26	$36.82	$44.76	$84.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $256.23 / $821.02	Professional		$171.22	$256.23	$821.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.32 / $47.70 / $187.00	Professional	26	$31.32	$47.70	$187.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.46 / $219.41 / $443.29	Professional	TC	$159.46	$219.41	$443.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $189.72 / $391.45	Professional		$182.79	$189.72	$391.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.74 / $47.13 / $56.36	Professional	26	$28.74	$47.13	$56.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $296.62 / $444.58	Professional		$247.10	$296.62	$444.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.56 / $44.58 / $70.76	Professional	26	$36.56	$44.58	$70.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $196.77 / $242.47 / $378.27	Professional	TC	$196.77	$242.47	$378.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $283.83 / $551.83	Professional		$207.82	$283.83	$551.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.43 / $51.42 / $81.59	Professional	26	$35.43	$51.42	$81.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.78 / $246.27 / $475.39	Professional	TC	$187.78	$246.27	$475.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.34 / $463.50 / $463.50	Facility	26	$87.34	$463.50	$463.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.23 / $318.51 / $2,395.00	Professional		$195.23	$318.51	$2,395.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $46.33 / $719.00	Professional	26	$35.54	$46.33	$719.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $156.57 / $278.01 / $1,676.00	Professional	TC	$156.57	$278.01	$1,676.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $450.17 / $450.17	Professional		$450.17	$450.17	$450.17
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $68.18 / $68.18 / $68.18	Professional	26	$68.18	$68.18	$68.18
United Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $299.47 / $555.59	Professional		$189.43	$299.47	$555.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $44.74 / $82.08	Professional	26	$35.54	$44.74	$82.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.26 / $254.81 / $473.51	Professional	TC	$154.26	$254.81	$473.51