Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.28 / $87.78 / $93.81	Facility	26	$83.28	$87.78	$93.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $432.29 / $822.75	Professional		$365.98	$432.29	$822.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.75 / $90.32 / $421.64	Professional	26	$80.75	$90.32	$421.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $333.19 / $496.03	Professional	TC	$284.67	$333.19	$496.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $420.82 / $420.82 / $420.82	Professional		$420.82	$420.82	$420.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.83 / $119.45 / $119.45	Professional	26	$104.83	$119.45	$119.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.55 / $387.84 / $647.69	Professional		$257.55	$387.84	$647.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.40 / $104.00 / $156.47	Professional	26	$77.40	$104.00	$156.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.00 / $296.45 / $522.40	Professional	TC	$176.00	$296.45	$522.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.41 / $543.77 / $878.89	Professional		$339.41	$543.77	$878.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.17 / $122.07 / $189.30	Professional	26	$84.17	$122.07	$189.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.64 / $425.50 / $715.89	Professional	TC	$250.64	$425.50	$715.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.95 / $379.97 / $379.97	Facility	26	$194.95	$379.97	$379.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.56 / $540.09 / $2,747.80	Professional		$330.56	$540.09	$2,747.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.27 / $131.49 / $774.69	Professional	26	$82.27	$131.49	$774.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $242.56 / $444.06 / $2,208.88	Professional	TC	$242.56	$444.06	$2,208.88
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $137.37 / $137.37 / $137.37	Professional	26	$137.37	$137.37	$137.37
United Facility/Professional Professional Modifier Low / Median / High Price $330.56 / $489.31 / $971.12	Professional		$330.56	$489.31	$971.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.88 / $114.38 / $191.03	Professional	26	$80.88	$114.38	$191.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.45 / $392.36 / $758.48	Professional	TC	$236.45	$392.36	$758.48