Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.40 / $72.18 / $133.97	Facility	26	$58.40	$72.18	$133.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $151.90 / $711.27	Professional		$102.27	$151.90	$711.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $95.98 / $660.00	Professional	26	$53.67	$95.98	$660.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.59 / $83.90 / $361.14	Professional	TC	$52.59	$83.90	$361.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $91.42 / $190.93	Professional		$88.97	$91.42	$190.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $67.63 / $90.82	Professional	26	$46.31	$67.63	$90.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $173.15 / $283.00	Professional		$119.17	$173.15	$283.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.41 / $78.12 / $124.12	Professional	26	$59.41	$78.12	$124.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.76 / $95.31 / $184.46	Professional	TC	$59.76	$95.31	$184.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $189.39 / $267.26	Professional		$113.43	$189.39	$267.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.65 / $86.29 / $129.60	Professional	26	$58.65	$86.29	$129.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.44 / $101.25 / $156.97	Professional	TC	$62.44	$101.25	$156.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.46 / $347.58 / $347.58	Facility	26	$141.46	$347.58	$347.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $181.49 / $1,049.00	Professional		$127.71	$181.49	$1,049.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.75 / $75.34 / $855.01	Professional	26	$61.75	$75.34	$855.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.40 / $97.46 / $724.87	Professional	TC	$66.40	$97.46	$724.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $219.57 / $219.57	Professional		$219.57	$219.57	$219.57
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $110.20 / $110.20 / $110.20	Professional	26	$110.20	$110.20	$110.20
United Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $175.57 / $331.79	Professional		$126.69	$175.57	$331.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.15 / $72.72 / $125.60	Professional	26	$61.15	$72.72	$125.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.94 / $90.28 / $169.94	Professional	TC	$64.94	$90.28	$169.94