Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.32 / $168.46 / $999.50	Facility	26	$120.32	$168.46	$999.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.96 / $821.91 / $2,855.30	Professional		$593.96	$821.91	$2,855.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.48 / $145.52 / $576.00	Professional	26	$118.48	$145.52	$576.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $258.77 / $342.47 / $461.84	Professional	52	$258.77	$342.47	$461.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $472.98 / $654.21 / $1,818.70	Professional	TC	$472.98	$654.21	$1,818.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $824.89 / $824.89 / $824.89	Professional		$824.89	$824.89	$824.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.91 / $151.72 / $196.27	Professional	26	$104.91	$151.72	$196.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.36 / $740.47 / $1,238.76	Professional		$588.36	$740.47	$1,238.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.88 / $148.00 / $316.06	Professional	26	$118.88	$148.00	$316.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $472.31 / $600.97 / $973.73	Professional	TC	$472.31	$600.97	$973.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.30 / $935.61 / $1,372.17	Professional		$648.30	$935.61	$1,372.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.63 / $186.18 / $288.50	Professional	26	$124.63	$186.18	$288.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $500.00 / $741.51 / $1,103.03	Professional	TC	$500.00	$741.51	$1,103.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $286.83 / $753.90 / $753.90	Facility	26	$286.83	$753.90	$753.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.15 / $973.30 / $6,200.00	Professional		$631.15	$973.30	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $122.11 / $209.82 / $1,081.48	Professional	26	$122.11	$209.82	$1,081.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $503.07 / $778.43 / $3,875.48	Professional	TC	$503.07	$778.43	$3,875.48
United Facility/Professional Professional Modifier Low / Median / High Price $595.23 / $853.39 / $1,517.92	Professional		$595.23	$853.39	$1,517.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.17 / $179.70 / $310.94	Professional	26	$120.17	$179.70	$310.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $467.72 / $670.63 / $1,209.88	Professional	TC	$467.72	$670.63	$1,209.88