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 $379.97 / $470.83 / $1,308.93	Professional		$379.97	$470.83	$1,308.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $251.67 / $688.94	Professional	26	$188.34	$251.67	$688.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.08 / $250.20 / $752.60	Professional	TC	$194.08	$250.20	$752.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.53 / $342.62 / $521.25	Professional		$333.53	$342.62	$521.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $173.28 / $253.05 / $341.97	Professional	26	$173.28	$253.05	$341.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.71 / $567.54 / $947.58	Professional		$462.71	$567.54	$947.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $221.08 / $270.08 / $448.33	Professional	26	$221.08	$270.08	$448.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.63 / $302.56 / $493.81	Professional	TC	$241.63	$302.56	$493.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $661.97 / $984.14	Professional		$452.79	$661.97	$984.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.74 / $315.12 / $484.38	Professional	26	$219.74	$315.12	$484.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.96 / $345.57 / $507.40	Professional	TC	$230.96	$345.57	$507.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,030.91 / $1,030.91	Facility	26	$528.44	$1,030.91	$1,030.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.46 / $586.91 / $2,895.04	Professional		$483.46	$586.91	$2,895.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $217.94 / $276.50 / $1,405.16	Professional	26	$217.94	$276.50	$1,405.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $249.10 / $311.05 / $1,489.88	Professional	TC	$249.10	$311.05	$1,489.88
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 $483.46 / $629.64 / $1,048.82	Professional		$483.46	$629.64	$1,048.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $217.94 / $286.07 / $464.84	Professional	26	$217.94	$286.07	$464.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.84 / $311.05 / $529.78	Professional	TC	$233.84	$311.05	$529.78