Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.53 / $69.58 / $127.83	Facility	26	$53.53	$69.58	$127.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $169.69 / $907.00	Professional		$150.72	$169.69	$907.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.70 / $59.22 / $309.00	Professional	26	$48.70	$59.22	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.03 / $114.51 / $400.12	Professional	TC	$102.03	$114.51	$400.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $58.12 / $88.41	Professional	26	$41.39	$58.12	$88.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $201.40 / $342.00	Professional		$164.75	$201.40	$342.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.51 / $71.98 / $112.47	Professional	26	$58.51	$71.98	$112.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.24 / $130.69 / $249.00	Professional	TC	$106.24	$130.69	$249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $246.24 / $377.67	Professional		$126.33	$246.24	$377.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.58 / $81.54 / $122.38	Professional	26	$50.58	$81.54	$122.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.02 / $164.57 / $255.29	Professional	TC	$98.02	$164.57	$255.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.57 / $254.13 / $254.13	Facility	26	$132.57	$254.13	$254.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $228.60 / $1,809.00	Professional		$164.41	$228.60	$1,809.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.35 / $72.45 / $543.00	Professional	26	$55.35	$72.45	$543.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $105.89 / $156.59 / $1,266.00	Professional	TC	$105.89	$156.59	$1,266.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $101.67 / $101.67 / $101.67	Professional	26	$101.67	$101.67	$101.67
United Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $216.13 / $521.95	Professional		$159.68	$216.13	$521.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.35 / $71.95 / $121.77	Professional	26	$55.35	$71.95	$121.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.60 / $145.80 / $260.95	Professional	TC	$116.60	$145.80	$260.95