Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.59 / $153.54 / $191.38	Facility	26	$127.59	$153.54	$191.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $248.08 / $705.29	Professional		$201.50	$248.08	$705.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $134.81 / $321.05	Professional	26	$120.34	$134.81	$321.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.70 / $91.70 / $137.05	Professional	TC	$75.70	$91.70	$137.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.65 / $235.43 / $322.41	Professional		$175.65	$235.43	$322.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $142.84 / $161.22 / $192.80	Professional	26	$142.84	$161.22	$192.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $226.65 / $372.97	Professional		$186.86	$226.65	$372.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.83 / $135.68 / $225.70	Professional	26	$109.83	$135.68	$225.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.61 / $92.42 / $148.40	Professional	TC	$75.61	$92.42	$148.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $284.48 / $468.51	Professional		$117.79	$284.48	$468.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.90 / $185.89 / $289.64	Professional	26	$129.90	$185.89	$289.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.20 / $121.35 / $202.29	Professional	TC	$82.20	$121.35	$202.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $299.41 / $584.34 / $584.34	Facility	26	$299.41	$584.34	$584.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.80 / $309.39 / $1,374.92	Professional		$210.80	$309.39	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.75 / $189.43 / $824.31	Professional	26	$123.75	$189.43	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $86.56 / $127.80 / $550.61	Professional	TC	$86.56	$127.80	$550.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $416.65 / $416.65	Professional		$237.33	$416.65	$416.65
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $182.56 / $182.56 / $182.56	Professional	26	$182.56	$182.56	$182.56
United Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $289.32 / $485.63	Professional		$209.75	$289.32	$485.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.19 / $169.55 / $327.08	Professional	26	$123.19	$169.55	$327.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.56 / $117.96 / $201.26	Professional	TC	$86.56	$117.96	$201.26