Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.53 / $123.90 / $234.27	Facility	26	$99.53	$123.90	$234.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $417.25 / $1,012.62	Professional		$337.07	$417.25	$1,012.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.57 / $103.88 / $311.75	Professional	26	$86.57	$103.88	$311.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.51 / $307.27 / $763.50	Professional	TC	$250.51	$307.27	$763.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.13 / $287.13 / $431.43	Professional		$287.13	$287.13	$431.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.65 / $116.95 / $158.19	Professional	26	$80.65	$116.95	$158.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.58 / $512.29 / $798.05	Professional		$416.58	$512.29	$798.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.29 / $121.53 / $208.87	Professional	26	$103.29	$121.53	$208.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $313.29 / $378.10 / $597.30	Professional	TC	$313.29	$378.10	$597.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.55 / $573.62 / $901.01	Professional		$391.55	$573.62	$901.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $145.00 / $226.65	Professional	26	$102.50	$145.00	$226.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $289.05 / $431.26 / $674.36	Professional	TC	$289.05	$431.26	$674.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $246.31 / $479.89 / $479.89	Facility	26	$246.31	$479.89	$479.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.62 / $540.27 / $2,670.75	Professional		$415.62	$540.27	$2,670.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.06 / $129.59 / $657.16	Professional	26	$102.06	$129.59	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $313.56 / $400.09 / $2,013.59	Professional	TC	$313.56	$400.09	$2,013.59
United Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $537.23 / $925.84	Professional		$410.84	$537.23	$925.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.06 / $129.59 / $224.48	Professional	26	$102.06	$129.59	$224.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.81 / $409.28 / $691.45	Professional	TC	$301.81	$409.28	$691.45