Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $10.42 / $18.14	Facility	26	$8.41	$10.42	$18.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $30.93 / $137.00	Professional		$25.95	$30.93	$137.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $11.13 / $39.90	Professional	26	$7.66	$11.13	$39.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $21.99 / $55.71	Professional	TC	$17.75	$21.99	$55.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $23.42 / $51.54	Professional		$22.96	$23.42	$51.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $9.09 / $13.02	Professional	26	$6.44	$9.09	$13.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.68 / $29.68 / $29.68	Professional	TC	$29.68	$29.68	$29.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $33.86 / $52.64	Professional		$27.37	$33.86	$52.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $10.89 / $17.66	Professional	26	$8.35	$10.89	$17.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.02 / $23.25 / $36.99	Professional	TC	$19.02	$23.25	$36.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $36.52 / $61.79	Professional		$23.24	$36.52	$61.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.80 / $19.14	Professional	26	$7.25	$11.80	$19.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $25.42 / $44.82	Professional	TC	$16.17	$25.42	$44.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $63.44 / $100.00 / $100.00	Facility	26	$63.44	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $39.57 / $202.27	Professional		$27.37	$39.57	$202.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.57 / $111.75	Professional	26	$8.58	$12.57	$111.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $26.78 / $146.99	Professional	TC	$18.57	$26.78	$146.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $15.79 / $15.79	Professional	26	$15.79	$15.79	$15.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $34.13 / $58.11	Professional		$26.38	$34.13	$58.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $10.49 / $17.67	Professional	26	$8.44	$10.49	$17.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $22.74 / $41.15	Professional	TC	$18.41	$22.74	$41.15