Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $10.42 / $19.91	Facility	26	$8.41	$10.42	$19.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.30 / $157.00	Professional		$25.85	$31.30	$157.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.55 / $35.25	Professional	26	$7.66	$8.55	$35.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $67.67 / $67.67	Professional	50	$59.24	$67.67	$67.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.53 / $45.59	Professional	TC	$18.53	$22.53	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $54.24 / $54.24	Professional		$54.24	$54.24	$54.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.85 / $13.19	Professional	26	$6.42	$8.85	$13.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.87 / $25.87 / $25.87	Professional	50	$25.87	$25.87	$25.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $33.60 / $54.71	Professional		$26.75	$33.60	$54.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $10.89 / $17.66	Professional	26	$8.35	$10.89	$17.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.11 / $50.40 / $82.06	Professional	50	$40.11	$50.40	$82.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $23.30 / $38.60	Professional	TC	$18.39	$23.30	$38.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $37.65 / $63.81	Professional		$23.81	$37.65	$63.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $11.73 / $19.14	Professional	26	$7.22	$11.73	$19.14
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $26.96 / $47.69	Professional	TC	$17.36	$26.96	$47.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $100.00 / $100.00	Facility	26	$20.47	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $39.57 / $208.77	Professional		$27.37	$39.57	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.67 / $82.56	Professional	26	$8.39	$11.67	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $27.74 / $153.47	Professional	TC	$19.32	$27.74	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $35.18 / $59.66	Professional		$26.69	$35.18	$59.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $10.11 / $17.32	Professional	26	$8.23	$10.11	$17.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.37 / $41.30	Professional	TC	$19.05	$24.37	$41.30