Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $1,023.29	Professional		$295.12	$398.11	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $239.88 / $776.25	Professional	26	$120.23	$239.88	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $251.19 / $630.96	Professional	TC	$204.17	$251.19	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $416.87	Professional		$190.55	$199.53	$416.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $234.42	Professional	26	$60.26	$91.20	$234.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $245.47 / $269.15	Professional	TC	$245.47	$245.47	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $707.95	Professional		$331.13	$446.68	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $218.78 / $281.84	Professional	26	$128.82	$218.78	$281.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $257.04 / $457.09	Professional	TC	$117.49	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $660.69	Professional		$380.19	$436.52	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $173.78 / $223.87	Professional	26	$128.82	$173.78	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $288.40 / $446.68	Professional	TC	$218.78	$288.40	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $676.08	Professional		$186.21	$234.42	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $120.23 / $371.54	Professional	26	$66.07	$120.23	$371.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $147.91 / $398.11	Professional	TC	$102.33	$147.91	$398.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $2,754.23	Professional		$257.04	$478.63	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $173.78 / $891.25	Professional	26	$91.20	$173.78	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $346.74 / $1,862.09	Professional	TC	$158.49	$346.74	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $741.31	Professional		$257.04	$398.11	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $151.36 / $281.84	Professional	26	$85.11	$151.36	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $245.47 / $501.19	Professional	TC	$158.49	$245.47	$501.19