Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.89 / $18.98 / $34.57	Facility	26	$14.89	$18.98	$34.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $55.59 / $261.05	Professional		$45.74	$55.59	$261.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $16.48 / $64.69	Professional	26	$13.55	$16.48	$64.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $38.60 / $99.96	Professional	TC	$32.18	$38.60	$99.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $38.97 / $86.27	Professional		$37.29	$38.97	$86.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $16.09 / $23.05	Professional	26	$11.34	$16.09	$23.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $57.42 / $101.82	Professional		$44.64	$57.42	$101.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $20.79 / $32.34	Professional	26	$16.29	$20.79	$32.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $39.29 / $69.45	Professional	TC	$28.35	$39.29	$69.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $68.17 / $102.82	Professional		$40.70	$68.17	$102.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $21.75 / $33.18	Professional	26	$13.28	$21.75	$33.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.29 / $47.32 / $73.01	Professional	TC	$28.29	$47.32	$73.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $100.00 / $100.00	Facility	26	$36.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $68.25 / $338.57	Professional		$49.31	$68.25	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $22.24 / $117.24	Professional	26	$15.77	$22.24	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.69 / $46.01 / $291.00	Professional	TC	$32.69	$46.01	$291.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $27.90 / $27.90	Professional	26	$27.90	$27.90	$27.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $60.21 / $97.66	Professional		$47.64	$60.21	$97.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $18.60 / $31.12	Professional	26	$14.94	$18.60	$31.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $38.99 / $63.65	Professional	TC	$31.49	$38.99	$63.65