Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $134.51 / $221.33	Facility	26	$85.00	$134.51	$221.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.59 / $854.63 / $2,835.20	Professional		$730.59	$854.63	$2,835.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $96.32 / $364.00	Professional	26	$85.00	$96.32	$364.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $645.59 / $724.54 / $2,361.27	Professional	TC	$645.59	$724.54	$2,361.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.45 / $71.45 / $123.48	Professional	26	$71.45	$71.45	$123.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.28 / $927.54 / $1,709.20	Professional		$830.28	$927.54	$1,709.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.81 / $108.69 / $191.22	Professional	26	$100.81	$108.69	$191.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $729.47 / $823.77 / $1,517.99	Professional	TC	$729.47	$823.77	$1,517.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.84 / $1,252.22 / $1,642.17	Professional		$715.84	$1,252.22	$1,642.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.84 / $142.50 / $201.03	Professional	26	$84.84	$142.50	$201.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $624.34 / $1,094.52 / $1,451.12	Professional	TC	$624.34	$1,094.52	$1,451.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $229.45 / $432.95 / $432.95	Facility	26	$229.45	$432.95	$432.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.30 / $1,123.07 / $4,902.49	Professional		$812.30	$1,123.07	$4,902.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.67 / $125.31 / $553.08	Professional	26	$92.67	$125.31	$553.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $723.34 / $986.88 / $4,349.41	Professional	TC	$723.34	$986.88	$4,349.41
United Facility/Professional Professional Modifier Low / Median / High Price $813.67 / $1,125.10 / $2,839.35	Professional		$813.67	$1,125.10	$2,839.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.59 / $123.56 / $212.02	Professional	26	$96.59	$123.56	$212.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $781.08 / $999.23 / $1,701.98	Professional	TC	$781.08	$999.23	$1,701.98