Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $354.81 / $630.96	Facility	26	$151.36	$354.81	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,174.90	Professional		$338.84	$446.68	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $158.49 / $446.68	Professional	26	$125.89	$158.49	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $288.40 / $602.56	Professional	TC	$199.53	$288.40	$602.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $776.25	Professional		$354.81	$416.87	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $177.83 / $288.40	Professional	26	$147.91	$177.83	$288.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $229.09 / $512.86	Professional	TC	$204.17	$229.09	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $758.58	Professional		$426.58	$549.54	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $181.97 / $257.04	Professional	26	$162.18	$181.97	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $338.84 / $501.19	Professional	TC	$281.84	$338.84	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $794.33	Professional		$371.54	$489.78	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $208.93 / $309.03	Professional	26	$144.54	$208.93	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $295.12 / $524.81	Professional	TC	$208.93	$295.12	$524.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $691.83 / $691.83	Facility	26	$354.81	$691.83	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $2,884.03	Professional		$354.81	$467.74	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $181.97 / $954.99	Professional	26	$134.90	$181.97	$954.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $288.40 / $1,905.46	Professional	TC	$208.93	$288.40	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $758.58	Professional		$346.74	$457.09	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $173.78 / $288.40	Professional	26	$147.91	$173.78	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $269.15 / $489.78	Professional	TC	$204.17	$269.15	$489.78