Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.63 / $100.31 / $128.03	Facility	26	$87.63	$100.31	$128.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $309.08 / $1,083.00	Professional		$246.71	$309.08	$1,083.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $101.43 / $361.00	Professional	26	$78.81	$101.43	$361.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.07 / $174.58 / $377.36	Professional	TC	$151.07	$174.58	$377.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.67 / $199.67 / $281.69	Professional		$199.67	$199.67	$281.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.89 / $115.58 / $133.05	Professional	26	$71.89	$115.58	$133.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $298.79 / $486.40	Professional		$235.38	$298.79	$486.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.78 / $106.79 / $177.61	Professional	26	$85.78	$106.79	$177.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.06 / $183.05 / $295.54	Professional	TC	$139.06	$183.05	$295.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $344.48 / $576.46	Professional		$230.20	$344.48	$576.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.96 / $119.93 / $183.51	Professional	26	$81.96	$119.93	$183.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.72 / $209.16 / $329.43	Professional	TC	$146.72	$209.16	$329.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.51 / $366.35 / $366.35	Facility	26	$192.51	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $392.37 / $2,380.40	Professional		$239.27	$392.37	$2,380.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $151.97 / $520.19	Professional	26	$87.34	$151.97	$520.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.93 / $248.55 / $982.86	Professional	TC	$151.93	$248.55	$982.86
United Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $355.89 / $571.35	Professional		$233.65	$355.89	$571.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.40 / $131.33 / $213.06	Professional	26	$86.40	$131.33	$213.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.08 / $227.90 / $358.79	Professional	TC	$147.08	$227.90	$358.79