Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.66 / $20.04 / $32.97	Facility	26	$13.66	$20.04	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $75.26 / $313.08	Professional		$53.77	$75.26	$313.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $17.27 / $83.99	Professional	26	$12.96	$17.27	$83.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.17 / $51.52 / $131.62	Professional	TC	$39.17	$51.52	$131.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $52.41 / $100.79	Professional		$43.58	$52.41	$100.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $13.67 / $18.95	Professional	26	$10.86	$13.67	$18.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.94 / $38.94 / $38.94	Professional	TC	$38.94	$38.94	$38.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $70.79 / $127.44	Professional		$52.73	$70.79	$127.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $20.10 / $37.52	Professional	26	$16.29	$20.10	$37.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.44 / $51.12 / $95.15	Professional	TC	$36.44	$51.12	$95.15
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 $48.84 / $83.02 / $134.75	Professional		$48.84	$83.02	$134.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $21.81 / $35.24	Professional	26	$13.14	$21.81	$35.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $61.12 / $100.40	Professional	TC	$36.97	$61.12	$100.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.43 / $126.00 / $126.00	Facility	26	$34.43	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $81.73 / $399.42	Professional		$58.34	$81.73	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $21.57 / $151.90	Professional	26	$15.33	$21.57	$151.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.93 / $59.69 / $307.58	Professional	TC	$42.93	$59.69	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $72.31 / $114.51	Professional		$56.64	$72.31	$114.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $19.23 / $31.09	Professional	26	$14.75	$19.23	$31.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.72 / $53.70 / $85.02	Professional	TC	$40.72	$53.70	$85.02