Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.37 / $23.27 / $46.65	Facility	26	$22.37	$23.27	$46.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $221.90 / $1,127.82	Professional		$191.94	$221.90	$1,127.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.36 / $23.33 / $59.50	Professional	26	$20.36	$23.33	$59.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.59 / $201.28 / $526.10	Professional	TC	$171.59	$201.28	$526.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $24.15 / $36.74	Professional	26	$17.20	$24.15	$36.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.91 / $269.30 / $432.43	Professional		$218.91	$269.30	$432.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $28.55 / $43.62	Professional	26	$24.38	$28.55	$43.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.53 / $239.31 / $388.78	Professional	TC	$194.53	$239.31	$388.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $332.01 / $490.67	Professional		$189.30	$332.01	$490.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $34.11 / $50.87	Professional	26	$21.08	$34.11	$50.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.43 / $297.89 / $439.80	Professional	TC	$167.43	$297.89	$439.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $104.46 / $104.46	Facility	26	$55.06	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.67 / $295.81 / $1,286.48	Professional		$215.67	$295.81	$1,286.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.04 / $29.94 / $133.54	Professional	26	$22.04	$29.94	$133.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $265.97 / $1,152.94	Professional	TC	$192.64	$265.97	$1,152.94
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $42.25 / $42.25	Professional	26	$42.25	$42.25	$42.25
United Facility/Professional Professional Modifier Low / Median / High Price $210.59 / $295.73 / $491.45	Professional		$210.59	$295.73	$491.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $30.22 / $54.73	Professional	26	$24.34	$30.22	$54.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.26 / $261.47 / $436.72	Professional	TC	$189.26	$261.47	$436.72