Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.79 / $19.44 / $30.67	Facility	26	$11.79	$19.44	$30.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.07 / $58.82 / $420.24	Facility	TC	$31.07	$58.82	$420.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $47.25 / $150.83	Professional		$38.81	$47.25	$150.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $15.90 / $76.84	Professional	26	$11.79	$15.90	$76.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $31.92 / $93.71	Professional	TC	$25.97	$31.92	$93.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.43 / $14.92	Professional	26	$9.94	$12.43	$14.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $53.08 / $94.36	Professional		$43.50	$53.08	$94.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $21.38 / $34.65	Professional	26	$17.32	$21.38	$34.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $33.04 / $59.73	Professional	TC	$26.17	$33.04	$59.73
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 Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $60.81 / $94.40	Professional		$35.52	$60.81	$94.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $20.58 / $34.36	Professional	26	$11.99	$20.58	$34.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $40.47 / $62.27	Professional	TC	$24.65	$40.47	$62.27
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 Facility Modifier TC Low / Median / High Price $66.47 / $142.32 / $142.32	Facility	TC	$66.47	$142.32	$142.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $60.43 / $314.00	Professional		$43.36	$60.43	$314.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $20.72 / $107.32	Professional	26	$14.56	$20.72	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.45 / $39.90 / $296.00	Professional	TC	$28.45	$39.90	$296.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $24.44 / $24.44	Professional	26	$24.44	$24.44	$24.44
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $52.02 / $85.03	Professional		$41.02	$52.02	$85.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $17.76 / $28.12	Professional	26	$13.86	$17.76	$28.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $34.61 / $56.91	Professional	TC	$27.67	$34.61	$56.91