Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $97.72 / $125.89	Facility	26	$87.10	$97.72	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $1,148.15	Professional		$218.78	$363.08	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $123.03 / $398.11	Professional	26	$77.62	$123.03	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $363.08	Professional	TC	$128.82	$173.78	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $281.84	Professional		$186.21	$213.80	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $123.03	Professional	26	$70.79	$102.33	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $436.52	Professional		$229.09	$288.40	$436.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $102.33 / $158.49	Professional	26	$85.11	$102.33	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $177.83 / $275.42	Professional	TC	$138.04	$177.83	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $380.19	Professional		$229.09	$275.42	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $100.00 / $131.83	Professional	26	$85.11	$100.00	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $177.83 / $251.19	Professional	TC	$147.91	$177.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $630.96	Professional		$229.09	$338.84	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $208.93	Professional	26	$85.11	$120.23	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $380.19	Professional	TC	$144.54	$208.93	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $363.08 / $363.08	Facility	26	$190.55	$363.08	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $2,398.83	Professional		$223.87	$354.81	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $134.90 / $524.81	Professional	26	$81.28	$134.90	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $223.87 / $977.24	Professional	TC	$144.54	$223.87	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $489.78	Professional		$223.87	$309.03	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $177.83	Professional	26	$81.28	$117.49	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $194.98 / $316.23	Professional	TC	$141.25	$194.98	$316.23