Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.74 / $376.74 / $376.74	Facility		$376.74	$376.74	$376.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $136.94 / $335.70	Professional		$131.18	$136.94	$335.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.73 / $71.59 / $235.00	Professional	26	$57.73	$71.59	$235.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.73 / $80.54 / $194.98	Professional	TC	$71.73	$80.54	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Professional		$74.69	$74.69	$74.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $75.23 / $101.03	Professional	26	$28.98	$75.23	$101.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $148.00 / $261.64	Professional		$63.22	$148.00	$261.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $88.57 / $139.08	Professional	26	$29.95	$88.57	$139.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $73.17 / $143.38	Professional	TC	$28.46	$73.17	$143.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $94.14 / $360.31	Professional		$67.52	$94.14	$360.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $66.26 / $199.20	Professional	26	$32.46	$66.26	$199.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.08 / $52.26 / $145.46	Professional	TC	$30.08	$52.26	$145.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $155.19 / $356.07	Facility		$108.04	$155.19	$356.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $305.79 / $305.79 / $305.79	Facility	26	$305.79	$305.79	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $204.21 / $1,961.76	Professional		$94.41	$204.21	$1,961.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $86.85 / $434.05	Professional	26	$44.39	$86.85	$434.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $104.92 / $557.54	Professional	TC	$50.02	$104.92	$557.54
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $127.72 / $127.72 / $127.72	Professional	26	$127.72	$127.72	$127.72
United Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $153.78 / $300.48	Professional		$87.78	$153.78	$300.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.38 / $73.22 / $147.96	Professional	26	$42.38	$73.22	$147.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $79.81 / $166.74	Professional	TC	$50.02	$79.81	$166.74