Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $69.18 / $128.82	Facility	26	$53.70	$69.18	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $562.34	Professional		$141.25	$181.97	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $288.40	Professional	26	$47.86	$77.62	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $123.03 / $302.00	Professional	TC	$95.50	$123.03	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $79.43	Professional	26	$41.69	$58.88	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $354.81	Professional		$165.96	$204.17	$354.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $117.49	Professional	26	$58.88	$72.44	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $134.90 / $251.19	Professional	TC	$107.15	$134.90	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $281.84	Professional		$181.97	$204.17	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $66.07 / $93.33	Professional	26	$58.88	$66.07	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $138.04 / $190.55	Professional	TC	$123.03	$138.04	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $346.74	Professional		$147.91	$245.47	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $123.03	Professional	26	$51.29	$81.28	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $165.96 / $223.87	Professional	TC	$100.00	$165.96	$223.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $257.04 / $257.04	Facility	26	$131.83	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $1,819.70	Professional		$154.88	$234.42	$1,819.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $537.03	Professional	26	$51.29	$74.13	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $158.49 / $1,258.93	Professional	TC	$104.71	$158.49	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $338.84	Professional		$158.49	$213.80	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $114.82	Professional	26	$53.70	$70.79	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $144.54 / $234.42	Professional	TC	$104.71	$144.54	$234.42