Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.71 / $98.62 / $167.32	Facility	26	$83.71	$98.62	$167.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $460.10 / $2,250.00	Professional		$342.85	$460.10	$2,250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.39 / $90.01 / $196.15	Professional	26	$69.39	$90.01	$196.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $376.39 / $784.59	Professional	TC	$274.27	$376.39	$784.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.20 / $75.98 / $93.68	Professional	26	$54.20	$75.98	$93.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.11 / $441.40 / $727.11	Professional		$357.11	$441.40	$727.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.39 / $93.93 / $142.94	Professional	26	$76.39	$93.93	$142.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.73 / $353.83 / $590.39	Professional	TC	$280.73	$353.83	$590.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.36 / $461.61 / $791.37	Professional		$285.36	$461.61	$791.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.65 / $108.11 / $159.97	Professional	26	$65.65	$108.11	$159.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.03 / $368.95 / $647.39	Professional	TC	$232.03	$368.95	$647.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $328.49 / $328.49	Facility	26	$173.90	$328.49	$328.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $518.36 / $2,081.77	Professional		$391.43	$518.36	$2,081.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $97.78 / $417.84	Professional	26	$69.67	$97.78	$417.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $309.56 / $428.02 / $1,663.93	Professional	TC	$309.56	$428.02	$1,663.93
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $133.19 / $133.19 / $133.19	Professional	26	$133.19	$133.19	$133.19
United Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $489.79 / $878.20	Professional		$377.06	$489.79	$878.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $97.78 / $160.13	Professional	26	$69.67	$97.78	$160.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.14 / $425.55 / $720.06	Professional	TC	$300.14	$425.55	$720.06