Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $10.69 / $19.91	Facility	26	$7.66	$10.69	$19.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $36.58 / $92.57	Professional		$30.68	$36.58	$92.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.82 / $23.43	Professional	26	$7.66	$8.82	$23.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $28.16 / $60.92	Professional	TC	$23.03	$28.16	$60.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $6.44 / $6.74	Professional	26	$6.44	$6.44	$6.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $39.02 / $62.56	Professional		$31.15	$39.02	$62.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $11.76 / $18.39	Professional	26	$9.02	$11.76	$18.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $28.00 / $48.26	Professional	TC	$22.13	$28.00	$48.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $43.02 / $75.36	Professional		$28.03	$43.02	$75.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $12.41 / $19.14	Professional	26	$7.56	$12.41	$19.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.98 / $30.91 / $58.65	Professional	TC	$20.98	$30.91	$58.65
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 $31.73 / $46.04 / $293.00	Professional		$31.73	$46.04	$293.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $12.57 / $55.28	Professional	26	$8.96	$12.57	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $33.79 / $283.00	Professional	TC	$22.72	$33.79	$283.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $15.79 / $15.79	Professional	26	$15.79	$15.79	$15.79
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $39.88 / $70.87	Professional		$31.22	$39.88	$70.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $10.76 / $17.19	Professional	26	$8.81	$10.76	$17.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $29.92 / $52.80	Professional	TC	$22.73	$29.92	$52.80