Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.97 / $20.52 / $33.76	Facility	26	$12.97	$20.52	$33.76
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.30 / $45.20 / $411.40	Facility	TC	$27.30	$45.20	$411.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $43.98 / $188.80	Professional		$37.95	$43.98	$188.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $15.17 / $35.25	Professional	26	$12.97	$15.17	$35.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $28.35 / $53.64	Professional	TC	$23.71	$28.35	$53.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $20.52 / $23.41	Professional	26	$11.32	$20.52	$23.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $50.04 / $83.11	Professional		$39.26	$50.04	$83.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $19.35 / $29.85	Professional	26	$15.88	$19.35	$29.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.37 / $31.55 / $54.29	Professional	TC	$23.37	$31.55	$54.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
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 $34.69 / $56.47 / $97.26	Professional		$34.69	$56.47	$97.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $21.26 / $34.56	Professional	26	$12.68	$21.26	$34.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $34.77 / $61.37	Professional	TC	$22.16	$34.77	$61.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $70.00 / $70.00	Facility	26	$34.97	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $65.76 / $140.77 / $140.77	Facility	TC	$65.76	$140.77	$140.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.66 / $297.38	Professional		$40.74	$53.66	$297.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $19.85 / $93.99	Professional	26	$15.77	$19.85	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $33.04 / $203.39	Professional	TC	$24.61	$33.04	$203.39
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	26	$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $49.34 / $85.12	Professional		$40.50	$49.34	$85.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $18.55 / $30.38	Professional	26	$14.94	$18.55	$30.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $30.08 / $52.49	Professional	TC	$24.36	$30.08	$52.49