Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $46.15 / $81.56	Facility	26	$37.42	$46.15	$81.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $219.03 / $808.75	Professional		$139.34	$219.03	$808.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.42 / $57.79 / $181.63	Professional	26	$37.42	$57.79	$181.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.50 / $133.94 / $315.18	Professional	TC	$99.50	$133.94	$315.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $117.25 / $136.84	Professional		$107.47	$117.25	$136.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $39.19 / $56.15	Professional	26	$27.83	$39.19	$56.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $232.27 / $335.45	Professional		$157.69	$232.27	$335.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.52 / $69.58 / $105.53	Professional	26	$41.52	$69.58	$105.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.73 / $162.09 / $253.19	Professional	TC	$114.73	$162.09	$253.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $242.29 / $432.76	Professional		$152.22	$242.29	$432.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $66.84 / $124.97	Professional	26	$37.40	$66.84	$124.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.38 / $181.49 / $324.41	Professional	TC	$115.38	$181.49	$324.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $251.76 / $251.76	Facility	26	$88.37	$251.76	$251.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $242.91 / $1,354.08	Professional		$167.46	$242.91	$1,354.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $62.36 / $335.64	Professional	26	$40.78	$62.36	$335.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.62 / $180.32 / $1,018.44	Professional	TC	$125.62	$180.32	$1,018.44
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $53.30 / $53.30 / $53.30	Professional	26	$53.30	$53.30	$53.30
United Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $207.57 / $356.86	Professional		$162.44	$207.57	$356.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $56.50 / $94.73	Professional	26	$40.78	$56.50	$94.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.62 / $157.13 / $276.52	Professional	TC	$122.62	$157.13	$276.52