Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.68 / $183.28 / $337.95	Facility	26	$125.68	$183.28	$337.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $274.56 / $651.60	Professional		$234.38	$274.56	$651.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.68 / $150.81 / $484.96	Professional	26	$125.68	$150.81	$484.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.70 / $129.35 / $301.89	Professional	TC	$108.70	$129.35	$301.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.56 / $177.60 / $230.56	Professional	26	$117.56	$177.60	$230.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $330.96 / $548.63	Professional		$270.68	$330.96	$548.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.24 / $182.61 / $301.95	Professional	26	$149.24	$182.61	$301.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.44 / $150.68 / $249.34	Professional	TC	$121.44	$150.68	$249.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $383.78 / $608.39	Professional		$278.02	$383.78	$608.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.36 / $211.00 / $326.89	Professional	26	$148.36	$211.00	$326.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.55 / $177.19 / $281.50	Professional	TC	$128.55	$177.19	$281.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $357.82 / $699.38 / $699.38	Facility	26	$357.82	$699.38	$699.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.81 / $349.91 / $1,788.06	Professional		$276.81	$349.91	$1,788.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $148.13 / $184.42 / $948.42	Professional	26	$148.13	$184.42	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $128.66 / $161.40 / $839.64	Professional	TC	$128.66	$161.40	$839.64
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $278.95 / $278.95 / $278.95	Professional	26	$278.95	$278.95	$278.95
United Facility/Professional Professional Modifier Low / Median / High Price $275.72 / $347.21 / $591.86	Professional		$275.72	$347.21	$591.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $148.13 / $182.29 / $323.04	Professional	26	$148.13	$182.29	$323.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.66 / $161.40 / $277.16	Professional	TC	$128.66	$161.40	$277.16