Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.72 / $12.63 / $22.99	Facility	26	$9.72	$12.63	$22.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $37.67 / $165.00	Professional		$30.10	$37.67	$165.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.75 / $43.23	Professional	26	$8.84	$10.75	$43.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $25.86 / $74.73	Professional	TC	$20.47	$25.86	$74.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.90 / $57.13	Professional		$25.82	$25.90	$57.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $12.93 / $15.89	Professional	26	$7.65	$12.93	$15.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.77 / $35.77 / $35.77	Professional	TC	$35.77	$35.77	$35.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $39.51 / $69.12	Professional		$30.73	$39.51	$69.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $13.89 / $22.79	Professional	26	$11.09	$13.89	$22.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $25.86 / $46.32	Professional	TC	$19.64	$25.86	$46.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $46.47 / $67.86	Professional		$26.78	$46.47	$67.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $14.64 / $22.10	Professional	26	$8.99	$14.64	$22.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $31.84 / $48.53	Professional	TC	$18.66	$31.84	$48.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.72 / $100.00 / $100.00	Facility	26	$23.72	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $46.66 / $223.92	Professional		$32.92	$46.66	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $15.00 / $92.47	Professional	26	$10.74	$15.00	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $30.65 / $211.00	Professional	TC	$22.29	$30.65	$211.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $18.27 / $18.27	Professional	26	$18.27	$18.27	$18.27
United Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $38.14 / $65.40	Professional		$32.77	$38.14	$65.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.44 / $20.42	Professional	26	$10.31	$12.44	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $26.30 / $44.09	Professional	TC	$21.11	$26.30	$44.09