Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.14 / $13.31 / $23.80	Facility	26	$9.14	$13.31	$23.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $39.46 / $110.69	Professional		$34.90	$39.46	$110.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.03 / $41.14	Professional	26	$9.14	$10.03	$41.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.69 / $29.10 / $78.95	Professional	TC	$25.69	$29.10	$78.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $10.61 / $11.58	Professional	26	$8.02	$10.61	$11.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $43.04 / $73.27	Professional		$33.84	$43.04	$73.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $14.17 / $22.79	Professional	26	$10.77	$14.17	$22.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $29.97 / $50.47	Professional	TC	$23.06	$29.97	$50.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $50.30 / $80.62	Professional		$31.29	$50.30	$80.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $14.98 / $22.84	Professional	26	$9.14	$14.98	$22.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $35.61 / $60.42	Professional	TC	$22.23	$35.61	$60.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $100.00 / $100.00	Facility	26	$24.59	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $53.03 / $267.27	Professional		$37.57	$53.03	$267.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $15.47 / $85.85	Professional	26	$10.97	$15.47	$85.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.37 / $37.56 / $244.00	Professional	TC	$26.37	$37.56	$244.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $44.38 / $75.81	Professional		$36.29	$44.38	$75.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $13.18 / $21.00	Professional	26	$10.63	$13.18	$21.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.77 / $30.31 / $51.79	Professional	TC	$24.77	$30.31	$51.79