Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.57 / $47.91 / $85.40	Facility	26	$38.57	$47.91	$85.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $267.52 / $1,365.00	Professional		$230.10	$267.52	$1,365.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $45.70 / $196.65	Professional	26	$35.46	$45.70	$196.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $220.91 / $620.85	Professional	TC	$192.87	$220.91	$620.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $44.57 / $59.67	Professional	26	$31.57	$44.57	$59.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.25 / $302.54 / $479.26	Professional		$252.25	$302.54	$479.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $51.39 / $79.80	Professional	26	$41.76	$51.39	$79.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.23 / $259.66 / $389.58	Professional	TC	$213.23	$259.66	$389.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $353.11 / $610.28	Professional		$201.52	$353.11	$610.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $58.49 / $86.97	Professional	26	$36.42	$58.49	$86.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.59 / $289.41 / $523.30	Professional	TC	$172.59	$289.41	$523.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $225.00 / $225.00	Facility	26	$94.73	$225.00	$225.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.34 / $346.06 / $1,813.42	Professional		$233.34	$346.06	$1,813.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $52.60 / $328.57	Professional	26	$39.89	$52.60	$328.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.40 / $289.38 / $1,562.23	Professional	TC	$193.40	$289.38	$1,562.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $72.73 / $72.73 / $72.73	Professional	26	$72.73	$72.73	$72.73
United Facility/Professional Professional Modifier Low / Median / High Price $241.43 / $329.56 / $618.42	Professional		$241.43	$329.56	$618.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $52.75 / $87.76	Professional	26	$39.89	$52.75	$87.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.40 / $278.58 / $788.65	Professional	TC	$193.40	$278.58	$788.65