Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $333.44 / $710.82	Professional		$265.20	$333.44	$710.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.80 / $60.10 / $306.33	Professional	26	$46.80	$60.10	$306.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.31 / $276.55 / $406.85	Professional	TC	$194.31	$276.55	$406.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.19 / $98.52 / $100.61	Professional	26	$29.19	$98.52	$100.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $324.85 / $628.71	Professional		$167.04	$324.85	$628.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $64.97 / $134.08	Professional	26	$26.78	$64.97	$134.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.26 / $222.98 / $527.90	Professional	TC	$140.26	$222.98	$527.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $201.49 / $559.65	Professional		$102.19	$201.49	$559.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.44 / $40.32 / $165.08	Professional	26	$30.44	$40.32	$165.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.70 / $169.86 / $423.28	Professional	TC	$69.70	$169.86	$423.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $283.08 / $283.08 / $283.08	Facility	26	$283.08	$283.08	$283.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $400.23 / $2,575.76	Professional		$217.86	$400.23	$2,575.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $71.87 / $393.91	Professional	26	$40.50	$71.87	$393.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $150.19 / $333.28 / $2,181.85	Professional	TC	$150.19	$333.28	$2,181.85
United Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $374.29 / $770.18	Professional		$216.12	$374.29	$770.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.06 / $66.95 / $133.94	Professional	26	$39.06	$66.95	$133.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.85 / $309.47 / $686.54	Professional	TC	$157.85	$309.47	$686.54