Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.96 / $66.04 / $82.45	Facility	26	$54.96	$66.04	$82.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $393.72 / $713.20	Professional		$302.81	$393.72	$713.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $62.76 / $213.18	Professional	26	$51.54	$62.76	$213.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $315.82 / $473.73	Professional	TC	$251.27	$315.82	$473.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $318.87 / $430.62	Professional		$233.42	$318.87	$430.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $69.34 / $82.92	Professional	26	$52.85	$69.34	$82.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $328.09 / $540.91	Professional		$193.97	$328.09	$540.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $66.00 / $95.74	Professional	26	$53.81	$66.00	$95.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.00 / $258.83 / $452.37	Professional	TC	$133.00	$258.83	$452.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $463.75 / $741.69	Professional		$277.58	$463.75	$741.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $78.41 / $124.30	Professional	26	$55.66	$78.41	$124.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.78 / $383.79 / $632.40	Professional	TC	$207.78	$383.79	$632.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $251.32	Facility	26	$128.97	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.27 / $479.41 / $2,452.27	Professional		$261.27	$479.41	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.27 / $83.65 / $354.09	Professional	26	$53.27	$83.65	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.92 / $424.45 / $2,098.17	Professional	TC	$193.92	$424.45	$2,098.17
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $90.86 / $90.86 / $90.86	Professional	26	$90.86	$90.86	$90.86
United Facility/Professional Professional Modifier Low / Median / High Price $244.71 / $419.48 / $813.45	Professional		$244.71	$419.48	$813.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $72.81 / $126.11	Professional	26	$51.84	$72.81	$126.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.10 / $374.69 / $674.05	Professional	TC	$210.10	$374.69	$674.05