Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $14.61 / $26.10	Facility	26	$10.02	$14.61	$26.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $52.37 / $245.00	Professional		$44.59	$52.37	$245.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $11.85 / $48.35	Professional	26	$10.01	$11.85	$48.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $39.11 / $94.75	Professional	TC	$33.15	$39.11	$94.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $41.72 / $41.72	Professional		$41.72	$41.72	$41.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.89 / $14.25	Professional	26	$8.46	$11.89	$14.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $55.74 / $91.56	Professional		$44.51	$55.74	$91.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $15.56 / $24.98	Professional	26	$12.12	$15.56	$24.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $41.46 / $67.03	Professional	TC	$32.39	$41.46	$67.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $63.50 / $103.29	Professional		$40.15	$63.50	$103.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $16.39 / $25.05	Professional	26	$10.02	$16.39	$25.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $47.58 / $81.99	Professional	TC	$29.72	$47.58	$81.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $26.96 / $100.00 / $100.00	Facility	26	$26.96	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $68.22 / $345.31	Professional		$47.43	$68.22	$345.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $16.92 / $142.00	Professional	26	$12.07	$16.92	$142.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.39 / $50.87 / $272.83	Professional	TC	$35.39	$50.87	$272.83
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $56.90 / $97.63	Professional		$44.64	$56.90	$97.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $14.49 / $23.16	Professional	26	$11.76	$14.49	$23.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.74 / $43.48 / $72.70	Professional	TC	$33.74	$43.48	$72.70