Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.90 / $161.18 / $233.71	Facility	26	$152.90	$161.18	$233.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $273.66 / $889.17	Professional		$230.57	$273.66	$889.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $161.18 / $278.82	Professional	26	$144.25	$161.18	$278.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.31 / $103.12 / $152.46	Professional	TC	$85.31	$103.12	$152.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $261.00 / $404.09	Professional		$194.37	$261.00	$404.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $136.81 / $193.00 / $219.91	Professional	26	$136.81	$193.00	$219.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.96 / $260.26 / $437.20	Professional		$215.96	$260.26	$437.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.36 / $162.13 / $270.77	Professional	26	$130.36	$162.13	$270.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.56 / $100.87 / $167.03	Professional	TC	$80.56	$100.87	$167.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $333.67 / $545.52	Professional		$117.79	$333.67	$545.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.71 / $222.98 / $344.91	Professional	26	$154.71	$222.98	$344.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.86 / $136.26 / $211.29	Professional	TC	$92.86	$136.26	$211.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $358.27 / $699.38 / $699.38	Facility	26	$358.27	$699.38	$699.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.72 / $356.00 / $1,600.14	Professional		$245.72	$356.00	$1,600.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $147.77 / $225.89 / $982.86	Professional	26	$147.77	$225.89	$982.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.87 / $140.74 / $617.27	Professional	TC	$93.87	$140.74	$617.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $277.17 / $277.17 / $277.17	Professional		$277.17	$277.17	$277.17
United Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $324.45 / $558.25	Professional		$241.34	$324.45	$558.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.27 / $196.62 / $338.62	Professional	26	$139.27	$196.62	$338.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.21 / $125.16 / $207.48	Professional	TC	$91.21	$125.16	$207.48