Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.52 / $46.78 / $82.66	Facility	26	$40.52	$46.78	$82.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.32 / $427.17 / $1,314.27	Professional		$351.32	$427.17	$1,314.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $53.17 / $142.26	Professional	26	$36.86	$53.17	$142.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $314.45 / $375.12 / $1,109.38	Professional	TC	$314.45	$375.12	$1,109.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $43.75 / $66.44	Professional	26	$31.19	$43.75	$66.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.58 / $446.48 / $672.59	Professional		$342.58	$446.48	$672.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.18 / $51.87 / $79.40	Professional	26	$44.18	$51.87	$79.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $297.66 / $399.23 / $585.78	Professional	TC	$297.66	$399.23	$585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.06 / $608.94 / $900.63	Professional		$346.06	$608.94	$900.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.22 / $62.76 / $92.12	Professional	26	$38.22	$62.76	$92.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $306.22 / $545.89 / $808.51	Professional	TC	$306.22	$545.89	$808.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.49 / $189.21 / $189.21	Facility	26	$99.49	$189.21	$189.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $546.16 / $2,381.96	Professional		$400.29	$546.16	$2,381.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.53 / $54.03 / $242.16	Professional	26	$40.53	$54.03	$242.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $355.87 / $494.84 / $2,139.81	Professional	TC	$355.87	$494.84	$2,139.81
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $76.41 / $76.41 / $76.41	Professional	26	$76.41	$76.41	$76.41
United Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $538.16 / $909.65	Professional		$388.67	$538.16	$909.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.53 / $54.09 / $128.47	Professional	26	$40.53	$54.09	$128.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.71 / $483.09 / $810.47	Professional	TC	$349.71	$483.09	$810.47