Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $18.09 / $32.27	Facility	26	$13.91	$18.09	$32.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $67.66 / $303.60	Professional		$54.06	$67.66	$303.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $17.43 / $81.56	Professional	26	$12.67	$17.43	$81.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $50.93 / $142.30	Professional	TC	$39.72	$50.93	$142.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $57.65 / $57.65	Professional		$57.65	$57.65	$57.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.62 / $13.94 / $22.66	Professional	26	$10.62	$13.94	$22.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $69.28 / $127.15	Professional		$54.48	$69.28	$127.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $22.28 / $37.52	Professional	26	$18.04	$22.28	$37.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.44 / $49.88 / $89.62	Professional	TC	$36.44	$49.88	$89.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $81.11 / $122.29	Professional		$48.25	$81.11	$122.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $21.97 / $35.79	Professional	26	$12.86	$21.97	$35.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $58.72 / $94.10	Professional	TC	$36.65	$58.72	$94.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $126.00 / $126.00	Facility	26	$33.82	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $83.06 / $399.42	Professional		$57.26	$83.06	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $22.01 / $137.04	Professional	26	$15.33	$22.01	$137.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.72 / $59.19 / $356.00	Professional	TC	$40.72	$59.19	$356.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $26.06 / $26.06 / $26.06	Professional	26	$26.06	$26.06	$26.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $70.55 / $115.34	Professional		$56.42	$70.55	$115.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $18.98 / $30.07	Professional	26	$14.75	$18.98	$30.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.72 / $51.56 / $84.99	Professional	TC	$38.72	$51.56	$84.99