Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.64 / $47.03 / $77.86	Facility	26	$35.64	$47.03	$77.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $298.70 / $1,427.41	Professional		$256.58	$298.70	$1,427.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.44 / $49.16 / $177.84	Professional	26	$32.44	$49.16	$177.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $254.08 / $688.35	Professional	TC	$218.71	$254.08	$688.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.94 / $46.12 / $58.36	Professional	26	$30.94	$46.12	$58.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.76 / $334.96 / $526.00	Professional		$277.76	$334.96	$526.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $44.68 / $71.92	Professional	26	$38.29	$44.68	$71.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.26 / $295.64 / $445.19	Professional	TC	$229.26	$295.64	$445.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $387.51 / $680.53	Professional		$216.38	$387.51	$680.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.30 / $53.55 / $81.03	Professional	26	$31.30	$53.55	$81.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.44 / $330.63 / $563.50	Professional	TC	$190.44	$330.63	$563.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $168.00 / $168.00	Facility	26	$87.37	$168.00	$168.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $386.19 / $2,023.55	Professional		$253.17	$386.19	$2,023.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $48.43 / $267.48	Professional	26	$36.86	$48.43	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $216.59 / $340.63 / $1,789.49	Professional	TC	$216.59	$340.63	$1,789.49
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $67.11 / $67.11 / $67.11	Professional	26	$67.11	$67.11	$67.11
United Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $377.93 / $918.77	Professional		$257.68	$377.93	$918.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.99 / $46.36 / $85.98	Professional	26	$34.99	$46.36	$85.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.44 / $313.17 / $597.41	Professional	TC	$211.44	$313.17	$597.41