Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $45.71 / $79.43	Facility	26	$33.11	$45.71	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $741.31	Professional		$251.19	$316.23	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $54.95 / $117.49	Professional	26	$30.20	$54.95	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $275.42 / $645.65	Professional	TC	$223.87	$275.42	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.11 / $48.98	Professional	26	$25.70	$33.11	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $562.34	Professional		$302.00	$380.19	$562.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $44.67 / $66.07	Professional	26	$36.31	$44.67	$66.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $331.13 / $489.78	Professional	TC	$263.03	$331.13	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $467.74	Professional		$295.12	$331.13	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $40.74 / $57.54	Professional	26	$37.15	$40.74	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $295.12 / $407.38	Professional	TC	$263.03	$295.12	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $676.08	Professional		$257.04	$457.09	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $51.29 / $75.86	Professional	26	$31.62	$51.29	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $398.11 / $588.84	Professional	TC	$223.87	$398.11	$588.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $154.88 / $154.88	Facility	26	$81.28	$154.88	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $1,778.28	Professional		$288.40	$398.11	$1,778.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $199.53	Professional	26	$31.62	$44.67	$199.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $1,778.28	Professional	TC	$257.04	$363.08	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $630.96	Professional		$288.40	$398.11	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $70.79	Professional	26	$33.88	$43.65	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $562.34	Professional	TC	$257.04	$346.74	$562.34