Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $81.28 / $81.28	Facility	26	$70.79	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $794.33	Professional		$354.81	$446.68	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $97.72	Professional	26	$52.48	$64.57	$97.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.18 / $95.50 / $95.50	Professional	52	$28.18	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $371.54 / $616.60	Professional	TC	$302.00	$371.54	$616.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $724.44	Professional		$389.05	$501.19	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $144.54	Professional	26	$58.88	$72.44	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $426.58 / $602.56	Professional	TC	$331.13	$426.58	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $741.31	Professional		$426.58	$524.81	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $104.71	Professional	26	$61.66	$72.44	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $457.09 / $630.96	Professional	TC	$371.54	$457.09	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $891.25	Professional		$407.38	$588.84	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $128.82	Professional	26	$60.26	$87.10	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $501.19 / $776.25	Professional	TC	$346.74	$501.19	$776.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $489.78 / $489.78	Facility	26	$138.04	$489.78	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $2,884.03	Professional		$389.05	$602.56	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $870.96	Professional	26	$58.88	$93.33	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $512.86 / $2,511.89	Professional	TC	$323.59	$512.86	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $812.83	Professional		$371.54	$489.78	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $125.89	Professional	26	$56.23	$74.13	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $416.87 / $691.83	Professional	TC	$316.23	$416.87	$691.83