Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $72.55 / $99.51	Facility	26	$55.81	$72.55	$99.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $461.22 / $1,300.01	Professional		$387.55	$461.22	$1,300.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $64.87 / $188.38	Professional	26	$53.22	$64.87	$188.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $322.70 / $384.84 / $718.15	Professional	TC	$322.70	$384.84	$718.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.74 / $53.50 / $72.43	Professional	26	$48.74	$53.50	$72.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.14 / $457.19 / $705.00	Professional		$374.14	$457.19	$705.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.63 / $70.79 / $138.00	Professional	26	$55.63	$70.79	$138.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.73 / $377.78 / $580.16	Professional	TC	$292.73	$377.78	$580.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.82 / $590.26 / $924.12	Professional		$402.82	$590.26	$924.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $89.30 / $144.58	Professional	26	$57.97	$89.30	$144.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $339.15 / $475.70 / $806.69	Professional	TC	$339.15	$475.70	$806.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $416.00 / $416.00	Facility	26	$133.12	$416.00	$416.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.18 / $611.63 / $3,905.69	Professional		$388.18	$611.63	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $93.66 / $617.51	Professional	26	$57.06	$93.66	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $331.82 / $529.66 / $3,576.06	Professional	TC	$331.82	$529.66	$3,576.06
United Facility/Professional Professional Modifier Low / Median / High Price $388.18 / $574.11 / $1,007.52	Professional		$388.18	$574.11	$1,007.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.36 / $79.47 / $133.83	Professional	26	$56.36	$79.47	$133.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $325.77 / $449.13 / $829.87	Professional	TC	$325.77	$449.13	$829.87