Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $418.85 / $1,008.65	Professional		$329.69	$418.85	$1,008.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $159.97 / $193.97 / $337.17	Professional	26	$159.97	$193.97	$337.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.89 / $224.88 / $752.59	Professional	TC	$168.89	$224.88	$752.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $160.63 / $160.63	Professional		$160.63	$160.63	$160.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $246.00 / $246.00 / $246.00	Professional	26	$246.00	$246.00	$246.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $387.32 / $808.66	Professional		$173.81	$387.32	$808.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.84 / $185.56 / $263.82	Professional	26	$72.84	$185.56	$263.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.07 / $195.51 / $564.02	Professional	TC	$99.07	$195.51	$564.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $333.50	Professional		$326.16	$326.16	$333.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $157.41	Professional	26	$153.56	$153.56	$157.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $176.09	Professional	TC	$172.60	$172.60	$176.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.69 / $543.29 / $2,073.90	Facility		$329.69	$543.29	$2,073.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $846.88 / $846.88 / $846.88	Facility	26	$846.88	$846.88	$846.88
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $546.08 / $5,718.36	Professional		$208.74	$546.08	$5,718.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $196.24 / $1,098.38	Professional	26	$111.30	$196.24	$1,098.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $283.11 / $2,229.25	Professional	TC	$97.44	$283.11	$2,229.25
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $360.68 / $855.69	Professional		$208.74	$360.68	$855.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.36 / $183.73 / $371.00	Professional	26	$107.36	$183.73	$371.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $171.99 / $450.07	Professional	TC	$97.44	$171.99	$450.07