Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.49 / $17.73 / $29.19	Facility	26	$11.49	$17.73	$29.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.29 / $41.87 / $60.18	Facility	TC	$25.29	$41.87	$60.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $40.36 / $168.80	Professional		$35.46	$40.36	$168.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $13.18 / $30.64	Professional	26	$11.49	$13.18	$30.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $27.53 / $52.03	Professional	TC	$22.90	$27.53	$52.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $33.40 / $33.40	Professional		$24.69	$33.40	$33.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $10.03 / $21.99	Professional	26	$9.71	$10.03	$21.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $44.15 / $70.56	Professional		$36.26	$44.15	$70.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $16.14 / $24.84	Professional	26	$13.82	$16.14	$24.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $28.04 / $47.19	Professional	TC	$22.44	$28.04	$47.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $52.56 / $83.20	Professional		$32.31	$52.56	$83.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.75 / $29.81	Professional	26	$11.48	$18.75	$29.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $33.32 / $57.43	Professional	TC	$21.27	$33.32	$57.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $70.00 / $70.00	Facility	26	$30.85	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $131.69 / $131.69	Facility	TC	$61.48	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $50.03 / $271.47	Professional		$37.95	$50.03	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $16.98 / $81.06	Professional	26	$13.37	$16.98	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $31.15 / $190.40	Professional	TC	$23.92	$31.15	$190.40
United Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $45.45 / $76.61	Professional		$37.67	$45.45	$76.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $16.88 / $31.03	Professional	26	$13.20	$16.88	$31.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $30.37 / $53.46	Professional	TC	$23.92	$30.37	$53.46