Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.33 / $15.06 / $26.89	Facility	26	$11.33	$15.06	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $42.48 / $211.00	Professional		$36.64	$42.48	$211.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $12.17 / $48.85	Professional	26	$10.32	$12.17	$48.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.19 / $29.85 / $72.05	Professional	TC	$26.19	$29.85	$72.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $58.28	Professional		$34.60	$34.60	$58.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $13.42 / $19.80	Professional	26	$9.18	$13.42	$19.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $45.81 / $76.92	Professional		$36.47	$45.81	$76.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $16.02 / $25.76	Professional	26	$12.48	$16.02	$25.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $30.75 / $51.18	Professional	TC	$24.00	$30.75	$51.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $51.98 / $84.57	Professional		$32.61	$51.98	$84.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $16.87 / $25.80	Professional	26	$10.32	$16.87	$25.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.83 / $36.09 / $61.88	Professional	TC	$22.83	$36.09	$61.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $100.00 / $100.00	Facility	26	$28.48	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $56.06 / $282.36	Professional		$38.47	$56.06	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $17.41 / $90.81	Professional	26	$12.34	$17.41	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.25 / $38.35 / $211.00	Professional	TC	$26.25	$38.35	$211.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.95 / $21.95 / $21.95	Professional	26	$21.95	$21.95	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $47.25 / $79.02	Professional		$37.36	$47.25	$79.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $15.12 / $28.02	Professional	26	$12.34	$15.12	$28.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $31.21 / $56.92	Professional	TC	$25.27	$31.21	$56.92