Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.79 / $16.80 / $30.67	Facility	26	$11.79	$16.80	$30.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $46.72 / $231.00	Professional		$39.97	$46.72	$231.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $13.51 / $53.74	Professional	26	$11.78	$13.51	$53.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $32.54 / $88.39	Professional	TC	$27.23	$32.54	$88.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $9.96 / $10.30	Professional	26	$9.96	$9.96	$10.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $50.85 / $86.20	Professional		$40.04	$50.85	$86.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $18.09 / $28.65	Professional	26	$13.87	$18.09	$28.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $33.61 / $57.53	Professional	TC	$26.17	$33.61	$57.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $58.53 / $93.69	Professional		$36.43	$58.53	$93.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $19.10 / $29.48	Professional	26	$11.77	$19.10	$29.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $40.59 / $67.84	Professional	TC	$25.17	$40.59	$67.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.72 / $100.00 / $100.00	Facility	26	$31.72	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $62.06 / $438.00	Professional		$43.96	$62.06	$438.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.35 / $97.41	Professional	26	$13.80	$19.35	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.77 / $42.71 / $423.00	Professional	TC	$29.77	$42.71	$423.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $52.73 / $89.89	Professional		$42.55	$52.73	$89.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $16.48 / $26.46	Professional	26	$13.44	$16.48	$26.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $36.11 / $60.82	Professional	TC	$28.03	$36.11	$60.82