Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.12 / $87.35 / $140.96	Facility	26	$67.12	$87.35	$140.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $485.62 / $2,086.00	Professional		$378.53	$485.62	$2,086.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $77.92 / $230.90	Professional	26	$67.62	$77.92	$230.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $312.43 / $379.89 / $1,310.85	Professional	TC	$312.43	$379.89	$1,310.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $313.52 / $313.52	Professional		$313.52	$313.52	$313.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $93.48 / $106.52	Professional	26	$57.00	$93.48	$106.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $525.11 / $804.36	Professional		$428.62	$525.11	$804.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $91.99 / $147.12	Professional	26	$77.95	$91.99	$147.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $335.71 / $434.99 / $657.24	Professional	TC	$335.71	$434.99	$657.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.37 / $610.45 / $976.45	Professional		$377.37	$610.45	$976.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.42 / $110.23 / $165.83	Professional	26	$67.42	$110.23	$165.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $307.29 / $495.08 / $810.62	Professional	TC	$307.29	$495.08	$810.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $178.45 / $337.57 / $337.57	Facility	26	$178.45	$337.57	$337.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.37 / $625.27 / $2,522.60	Professional		$420.37	$625.27	$2,522.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $109.47 / $426.85	Professional	26	$75.09	$109.47	$426.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $349.36 / $518.62 / $2,095.75	Professional	TC	$349.36	$518.62	$2,095.75
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $136.91 / $136.91 / $136.91	Professional	26	$136.91	$136.91	$136.91
United Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $607.10 / $1,088.61	Professional		$411.98	$607.10	$1,088.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.65 / $98.64 / $215.45	Professional	26	$79.65	$98.64	$215.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $352.04 / $518.62 / $1,078.53	Professional	TC	$352.04	$518.62	$1,078.53