Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.05 / $64.91 / $154.41	Facility	26	$59.05	$64.91	$154.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.44 / $464.36 / $1,974.00	Professional		$386.44	$464.36	$1,974.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.05 / $66.92 / $236.49	Professional	26	$59.05	$66.92	$236.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $327.39 / $398.08 / $852.07	Professional	TC	$327.39	$398.08	$852.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $85.94 / $106.49	Professional	26	$49.81	$85.94	$106.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.07 / $493.26 / $908.94	Professional		$443.07	$493.26	$908.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $75.56 / $134.52	Professional	26	$70.90	$75.56	$134.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $372.17 / $420.27 / $774.46	Professional	TC	$372.17	$420.27	$774.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $664.30 / $869.79	Professional		$380.60	$664.30	$869.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $100.19 / $141.49	Professional	26	$59.17	$100.19	$141.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.76 / $558.42 / $735.88	Professional	TC	$316.76	$558.42	$735.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.18 / $301.25 / $301.25	Facility	26	$160.18	$301.25	$301.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.61 / $597.17 / $2,608.01	Professional		$431.61	$597.17	$2,608.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.18 / $88.15 / $388.97	Professional	26	$65.18	$88.15	$388.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $369.03 / $503.48 / $2,219.04	Professional	TC	$369.03	$503.48	$2,219.04
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $122.46 / $122.46 / $122.46	Professional	26	$122.46	$122.46	$122.46
United Facility/Professional Professional Modifier Low / Median / High Price $431.61 / $598.32 / $1,000.08	Professional		$431.61	$598.32	$1,000.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.02 / $86.91 / $159.60	Professional	26	$65.02	$86.91	$159.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $369.03 / $503.48 / $840.48	Professional	TC	$369.03	$503.48	$840.48