Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.92 / $95.25 / $183.26	Facility	26	$79.92	$95.25	$183.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.64 / $481.64 / $2,470.65	Professional		$368.64	$481.64	$2,470.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $87.62 / $446.09	Professional	26	$67.95	$87.62	$446.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.68 / $413.91 / $1,281.38	Professional	TC	$300.68	$413.91	$1,281.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.89 / $301.89 / $468.48	Professional		$301.89	$301.89	$468.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $103.48 / $123.75	Professional	26	$63.10	$103.48	$123.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.88 / $564.89 / $941.35	Professional		$456.88	$564.89	$941.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.50 / $99.02 / $156.61	Professional	26	$80.50	$99.02	$156.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.00 / $469.61 / $784.75	Professional	TC	$363.00	$469.61	$784.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.72 / $640.41 / $986.90	Professional		$391.72	$640.41	$986.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.65 / $112.75 / $177.34	Professional	26	$77.65	$112.75	$177.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $324.20 / $554.52 / $809.56	Professional	TC	$324.20	$554.52	$809.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.44 / $1,357.70 / $1,357.70	Facility	26	$192.44	$1,357.70	$1,357.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.92 / $594.75 / $4,499.00	Professional		$431.92	$594.75	$4,499.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.17 / $102.20 / $1,350.00	Professional	26	$79.17	$102.20	$1,350.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $359.52 / $507.68 / $3,149.00	Professional	TC	$359.52	$507.68	$3,149.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $743.72 / $743.72 / $743.72	Professional		$743.72	$743.72	$743.72
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $149.97 / $149.97 / $149.97	Professional	26	$149.97	$149.97	$149.97
United Facility/Professional Professional Modifier Low / Median / High Price $431.92 / $558.95 / $1,017.55	Professional		$431.92	$558.95	$1,017.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.17 / $102.02 / $174.84	Professional	26	$79.17	$102.02	$174.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $356.71 / $474.13 / $829.96	Professional	TC	$356.71	$474.13	$829.96