Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.96 / $57.95 / $71.45	Facility	26	$54.96	$57.95	$71.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $449.78 / $941.50	Professional		$338.67	$449.78	$941.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $65.30 / $256.00	Professional	26	$51.32	$65.30	$256.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $374.85 / $541.98	Professional	TC	$287.33	$374.85	$541.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $425.42 / $625.57	Professional		$370.82	$425.42	$625.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $71.25 / $82.92	Professional	26	$49.15	$71.25	$82.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $369.70 / $617.99	Professional		$178.00	$369.70	$617.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.20 / $67.06 / $109.79	Professional	26	$54.20	$67.06	$109.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.86 / $294.91 / $529.67	Professional	TC	$121.86	$294.91	$529.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.13 / $533.33 / $859.93	Professional		$297.13	$533.33	$859.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $78.84 / $124.83	Professional	26	$55.66	$78.84	$124.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.02 / $461.49 / $750.77	Professional	TC	$228.02	$461.49	$750.77
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 $257.94 / $560.95 / $2,879.21	Professional		$257.94	$560.95	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.60 / $85.89 / $356.25	Professional	26	$53.60	$85.89	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $212.82 / $518.58 / $2,522.94	Professional	TC	$212.82	$518.58	$2,522.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $489.23 / $489.23 / $489.23	Professional		$489.23	$489.23	$489.23
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 $272.16 / $507.59 / $993.40	Professional		$272.16	$507.59	$993.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.49 / $68.75 / $126.11	Professional	26	$51.49	$68.75	$126.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.92 / $454.62 / $787.29	Professional	TC	$230.92	$454.62	$787.29