Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.45 / $9.23 / $15.47	Facility	26	$7.45	$9.23	$15.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $24.13 / $65.79	Professional		$21.00	$24.13	$65.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.78 / $8.24 / $44.42	Professional	26	$6.78	$8.24	$44.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $16.76 / $45.28	Professional	TC	$14.14	$16.76	$45.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $33.54 / $33.54	Professional		$33.54	$33.54	$33.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.73 / $8.03 / $12.10	Professional	26	$5.73	$8.03	$12.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.21 / $46.28	Professional		$21.05	$26.21	$46.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $9.94 / $16.17	Professional	26	$7.63	$9.94	$16.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.42 / $17.48 / $30.11	Professional	TC	$13.42	$17.48	$30.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $31.42 / $48.17	Professional		$18.78	$31.42	$48.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $10.57 / $16.92	Professional	26	$6.62	$10.57	$16.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.72 / $21.17 / $33.69	Professional	TC	$12.72	$21.17	$33.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $32.26 / $542.00	Professional		$23.22	$32.26	$542.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $11.13 / $62.74	Professional	26	$7.74	$11.13	$62.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.25 / $21.13 / $498.00	Professional	TC	$15.25	$21.13	$498.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $26.87 / $45.29	Professional		$22.25	$26.87	$45.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $9.50 / $15.77	Professional	26	$7.74	$9.50	$15.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $18.20 / $30.23	Professional	TC	$14.62	$18.20	$30.23