Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.91 / $15.50 / $28.37	Facility	26	$10.91	$15.50	$28.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $45.90 / $208.79	Professional		$39.70	$45.90	$208.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $12.91 / $51.82	Professional	26	$10.91	$12.91	$51.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $32.54 / $88.39	Professional	TC	$27.55	$32.54	$88.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $26.45 / $63.77	Professional		$26.45	$26.45	$63.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $11.50 / $16.57	Professional	26	$9.21	$11.50	$16.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $28.66 / $42.89	Professional	TC	$28.66	$28.66	$42.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $49.69 / $83.31	Professional		$39.63	$49.69	$83.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $16.89 / $26.48	Professional	26	$13.15	$16.89	$26.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $33.96 / $56.84	Professional	TC	$26.48	$33.96	$56.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $57.06 / $91.70	Professional		$35.65	$57.06	$91.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $17.67 / $27.27	Professional	26	$10.87	$17.67	$27.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $40.10 / $67.84	Professional	TC	$25.17	$40.10	$67.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $100.00 / $100.00	Facility	26	$29.34	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $61.09 / $306.22	Professional		$42.96	$61.09	$306.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $18.36 / $95.76	Professional	26	$13.00	$18.36	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $42.73 / $250.00	Professional	TC	$29.76	$42.73	$250.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $22.60 / $22.60	Professional	26	$22.60	$22.60	$22.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $50.59 / $88.46	Professional		$41.90	$50.59	$88.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $15.65 / $25.18	Professional	26	$12.75	$15.65	$25.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $36.18 / $59.45	Professional	TC	$28.03	$36.18	$59.45