Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.26 / $12.00 / $21.51	Facility	26	$8.26	$12.00	$21.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $35.00 / $156.00	Professional		$28.91	$35.00	$156.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.93 / $40.03	Professional	26	$8.26	$9.93	$40.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.23 / $68.48	Professional	TC	$20.19	$23.23	$68.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $9.80 / $15.94	Professional	26	$8.73	$9.80	$15.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $35.72 / $64.14	Professional		$28.45	$35.72	$64.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $12.82 / $20.60	Professional	26	$10.05	$12.82	$20.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $24.21 / $43.53	Professional	TC	$18.39	$24.21	$43.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $43.51 / $65.70	Professional		$25.99	$43.51	$65.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $13.54 / $20.63	Professional	26	$8.25	$13.54	$20.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $29.95 / $47.15	Professional	TC	$17.87	$29.95	$47.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $100.00 / $100.00	Facility	26	$22.21	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $43.59 / $217.42	Professional		$31.54	$43.59	$217.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $14.02 / $72.64	Professional	26	$10.03	$14.02	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $29.57 / $199.00	Professional	TC	$20.73	$29.57	$199.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $17.07 / $17.07	Professional	26	$17.07	$17.07	$17.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $36.33 / $63.08	Professional		$30.43	$36.33	$63.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $11.89 / $18.96	Professional	26	$9.42	$11.89	$18.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $25.40 / $41.64	Professional	TC	$20.46	$25.40	$41.64