Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.36 / $11.08 / $19.09	Facility	26	$7.36	$11.08	$19.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $32.22 / $151.88	Professional		$27.35	$32.22	$151.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.34 / $33.84	Professional	26	$7.36	$8.34	$33.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $23.11 / $69.45	Professional	TC	$19.92	$23.11	$69.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $8.50 / $13.17	Professional	26	$6.18	$8.50	$13.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $35.44 / $58.43	Professional		$28.61	$35.44	$58.43
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 $19.95 / $25.32 / $40.74	Professional	TC	$19.95	$25.32	$40.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $41.49 / $63.06	Professional		$24.51	$41.49	$63.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.73 / $18.39	Professional	26	$7.25	$11.73	$18.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $29.21 / $47.05	Professional	TC	$18.11	$29.21	$47.05
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 $29.83 / $41.44 / $208.83	Professional		$29.83	$41.44	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $12.08 / $66.04	Professional	26	$8.57	$12.08	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $29.11 / $188.00	Professional	TC	$21.26	$29.11	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $35.42 / $59.66	Professional		$28.66	$35.42	$59.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.09 / $16.54	Professional	26	$8.30	$10.09	$16.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $25.77 / $43.48	Professional	TC	$20.14	$25.77	$43.48