Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.26 / $17.55	Facility	26	$8.08	$10.26	$17.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $37.36 / $165.08	Professional		$30.37	$37.36	$165.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.94 / $41.36	Professional	26	$7.36	$9.94	$41.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $28.16 / $70.41	Professional	TC	$23.17	$28.16	$70.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $27.41 / $61.79	Professional		$26.72	$27.41	$61.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $7.76 / $13.74	Professional	26	$6.21	$7.76	$13.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $39.00 / $61.99	Professional		$31.10	$39.00	$61.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.29 / $17.66	Professional	26	$8.66	$11.29	$17.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $28.40 / $48.26	Professional	TC	$22.44	$28.40	$48.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $43.33 / $74.69	Professional		$27.23	$43.33	$74.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $11.89 / $18.39	Professional	26	$7.07	$11.89	$18.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $32.47 / $58.14	Professional	TC	$21.16	$32.47	$58.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $45.54 / $245.68	Professional		$31.41	$45.54	$245.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.08 / $61.09	Professional	26	$8.58	$12.08	$61.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.90 / $192.57	Professional	TC	$23.44	$33.90	$192.57
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $15.15 / $15.15	Professional	26	$15.15	$15.15	$15.15
United Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $40.70 / $69.81	Professional		$31.29	$40.70	$69.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.34 / $16.96	Professional	26	$8.52	$10.34	$16.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $29.92 / $52.80	Professional	TC	$23.21	$29.92	$52.80