Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.32 / $16.34 / $26.89	Facility	26	$10.32	$16.34	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $45.07 / $135.21	Professional		$37.47	$45.07	$135.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $11.34 / $42.35	Professional	26	$9.98	$11.34	$42.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $31.99 / $97.55	Professional	TC	$25.60	$31.99	$97.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $12.21 / $14.67	Professional	26	$8.69	$12.21	$14.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $47.77 / $88.09	Professional		$36.01	$47.77	$88.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $14.03 / $22.79	Professional	26	$10.77	$14.03	$22.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $34.84 / $65.30	Professional	TC	$25.24	$34.84	$65.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $57.72 / $92.93	Professional		$33.36	$57.72	$92.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $15.22 / $25.80	Professional	26	$9.43	$15.22	$25.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $42.20 / $65.06	Professional	TC	$25.00	$42.20	$65.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $103.00 / $103.00	Facility	26	$27.85	$103.00	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $57.31 / $286.68	Professional		$41.49	$57.31	$286.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $16.73 / $107.32	Professional	26	$11.08	$16.73	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $41.53 / $267.00	Professional	TC	$29.49	$41.53	$267.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $21.40 / $21.40	Professional	26	$21.40	$21.40	$21.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $50.31 / $81.59	Professional		$39.47	$50.31	$81.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $13.98 / $22.18	Professional	26	$10.90	$13.98	$22.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $36.82 / $59.54	Professional	TC	$28.28	$36.82	$59.54