Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.59 / $270.14 / $500.75	Facility	26	$218.59	$270.14	$500.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.64 / $521.16 / $2,825.37	Professional		$391.64	$521.16	$2,825.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $197.68 / $251.67 / $897.75	Professional	26	$197.68	$251.67	$897.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.75 / $306.66 / $1,392.30	Professional	TC	$205.75	$306.66	$1,392.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.22 / $350.22 / $532.30	Professional		$350.22	$350.22	$532.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.28 / $284.18 / $341.97	Professional	26	$173.28	$284.18	$341.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.82 / $568.35 / $1,347.59	Professional		$455.82	$568.35	$1,347.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $221.08 / $271.95 / $455.37	Professional	26	$221.08	$271.95	$455.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.74 / $297.31 / $890.01	Professional	TC	$234.74	$297.31	$890.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.42 / $708.91 / $1,451.63	Professional		$433.42	$708.91	$1,451.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $214.28 / $320.19 / $484.38	Professional	26	$214.28	$320.19	$484.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.74 / $379.49 / $1,031.03	Professional	TC	$244.74	$379.49	$1,031.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,325.34 / $1,325.34	Facility	26	$528.44	$1,325.34	$1,325.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.91 / $717.47 / $7,381.05	Professional		$488.91	$717.47	$7,381.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $228.14 / $280.82 / $1,699.00	Professional	26	$228.14	$280.82	$1,699.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.13 / $376.74 / $6,233.93	Professional	TC	$257.13	$376.74	$6,233.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $840.83 / $840.83 / $840.83	Professional		$840.83	$840.83	$840.83
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $411.80 / $411.80 / $411.80	Professional	26	$411.80	$411.80	$411.80
United Facility/Professional Professional Modifier Low / Median / High Price $484.16 / $630.45 / $1,300.38	Professional		$484.16	$630.45	$1,300.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $215.04 / $269.26 / $477.16	Professional	26	$215.04	$269.26	$477.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.73 / $342.28 / $838.19	Professional	TC	$239.73	$342.28	$838.19