Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $239.88 / $426.58	Facility	26	$100.00	$239.88	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $776.25	Professional		$281.84	$346.74	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $281.84	Professional	26	$83.18	$109.65	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $239.88 / $489.78	Professional	TC	$194.98	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $147.91 / $162.18	Professional	26	$75.86	$147.91	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $630.96	Professional		$302.00	$371.54	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $194.98	Professional	26	$100.00	$120.23	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $245.47 / $426.58	Professional	TC	$199.53	$245.47	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $575.44	Professional		$354.81	$407.38	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $123.03 / $173.78	Professional	26	$109.65	$123.03	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $288.40 / $398.11	Professional	TC	$245.47	$288.40	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $645.65	Professional		$309.03	$436.52	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $208.93	Professional	26	$97.72	$141.25	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $295.12 / $457.09	Professional	TC	$213.80	$295.12	$457.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $467.74 / $467.74	Facility	26	$239.88	$467.74	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $2,187.76	Professional		$288.40	$398.11	$2,187.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $123.03 / $645.65	Professional	26	$91.20	$123.03	$645.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $263.03 / $1,548.82	Professional	TC	$199.53	$263.03	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $645.65	Professional		$309.03	$371.54	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $117.49 / $194.98	Professional	26	$100.00	$117.49	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $257.04 / $436.52	Professional	TC	$208.93	$257.04	$436.52