Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.91 / $17.23 / $28.37	Facility	26	$10.91	$17.23	$28.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.71 / $183.00	Professional		$35.09	$41.71	$183.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $13.60 / $60.00	Professional	26	$10.91	$13.60	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $28.64 / $68.00	Professional	TC	$23.26	$28.64	$68.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $70.97 / $70.97	Professional		$70.97	$70.97	$70.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $11.50 / $19.64	Professional	26	$9.21	$11.50	$19.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $45.37 / $78.17	Professional		$36.88	$45.37	$78.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $16.28 / $26.87	Professional	26	$13.51	$16.28	$26.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.37 / $29.24 / $50.31	Professional	TC	$23.37	$29.24	$50.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $51.96 / $83.30	Professional		$32.11	$51.96	$83.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $17.86 / $27.65	Professional	26	$10.91	$17.86	$27.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $33.76 / $59.94	Professional	TC	$21.86	$33.76	$59.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $70.00 / $70.00	Facility	26	$29.34	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $50.66 / $273.64	Professional		$37.64	$50.66	$273.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $16.39 / $78.91	Professional	26	$13.03	$16.39	$78.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $31.96 / $194.73	Professional	TC	$24.26	$31.96	$194.73
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $22.60 / $22.60	Professional	26	$22.60	$22.60	$22.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $45.81 / $79.12	Professional		$37.64	$45.81	$79.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $15.93 / $26.15	Professional	26	$13.03	$15.93	$26.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $30.04 / $52.81	Professional	TC	$24.23	$30.04	$52.81