Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $933.25	Facility		$186.21	$309.03	$933.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $46.77 / $64.57	Facility	26	$37.15	$46.77	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $630.96	Professional		$165.96	$239.88	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $128.82	Professional	26	$34.67	$52.48	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $338.84	Professional	TC	$128.82	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $275.42	Professional		$128.82	$134.90	$275.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $57.54	Professional	26	$30.90	$42.66	$57.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $181.97	Professional	TC	$109.65	$109.65	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $338.84	Professional		$177.83	$223.87	$338.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $45.71 / $70.79	Professional	26	$36.31	$45.71	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $173.78 / $263.03	Professional	TC	$141.25	$173.78	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $302.00	Professional		$173.78	$213.80	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $58.88	Professional	26	$38.02	$44.67	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $165.96 / $251.19	Professional	TC	$138.04	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $912.01	Facility		$275.42	$549.54	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $489.78	Professional		$165.96	$263.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $50.12 / $97.72	Professional	26	$35.48	$50.12	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $426.58	Professional	TC	$134.90	$218.78	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $524.81	Facility		$169.82	$251.19	$524.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $173.78 / $173.78	Facility	26	$87.10	$173.78	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $1,445.44	Professional		$173.78	$275.42	$1,445.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $363.08	Professional	26	$34.67	$56.23	$363.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $229.09 / $1,288.25	Professional	TC	$138.04	$229.09	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $194.98 / $1,258.93	Facility		$39.81	$194.98	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $363.08	Professional		$173.78	$229.09	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $70.79	Professional	26	$32.36	$42.66	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $181.97 / $295.12	Professional	TC	$134.90	$181.97	$295.12