Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $13.06 / $22.09	Facility	26	$8.52	$13.06	$22.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $30.98 / $98.15	Professional		$27.37	$30.98	$98.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $9.66 / $37.78	Professional	26	$8.52	$9.66	$37.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.35 / $47.49	Professional	TC	$18.82	$21.35	$47.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $8.96 / $10.02	Professional	26	$7.49	$8.96	$10.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $34.70 / $58.53	Professional		$27.78	$34.70	$58.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.80 / $19.17	Professional	26	$10.00	$12.80	$19.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $22.56 / $39.36	Professional	TC	$17.77	$22.56	$39.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $41.15 / $63.11	Professional		$24.70	$41.15	$63.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $13.52 / $21.33	Professional	26	$7.87	$13.52	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.85 / $28.18 / $44.08	Professional	TC	$16.85	$28.18	$44.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $100.00 / $100.00	Facility	26	$22.61	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $41.70 / $206.60	Professional		$30.17	$41.70	$206.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $13.99 / $78.44	Professional	26	$9.73	$13.99	$78.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $27.69 / $193.00	Professional	TC	$20.22	$27.69	$193.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $35.85 / $60.34	Professional		$28.58	$35.85	$60.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $11.99 / $20.23	Professional	26	$9.69	$11.99	$20.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $23.66 / $39.92	Professional	TC	$19.16	$23.66	$39.92