Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.43 / $10.77 / $22.47	Facility	26	$9.43	$10.77	$22.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $46.61 / $203.17	Professional		$34.36	$46.61	$203.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $11.11 / $44.92	Professional	26	$9.43	$11.11	$44.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $33.61 / $112.92	Professional	TC	$24.87	$33.61	$112.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $28.95 / $28.95	Professional		$28.95	$28.95	$28.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.40 / $18.70	Professional	26	$7.94	$13.40	$18.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.04 / $25.04 / $25.04	Professional	TC	$25.04	$25.04	$25.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $47.74 / $85.44	Professional		$38.81	$47.74	$85.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $14.45 / $22.79	Professional	26	$11.09	$14.45	$22.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $34.69 / $63.68	Professional	TC	$27.73	$34.69	$63.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $55.05 / $88.86	Professional		$32.45	$55.05	$88.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $15.41 / $23.57	Professional	26	$9.36	$15.41	$23.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $41.15 / $65.29	Professional	TC	$24.88	$41.15	$65.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $100.00 / $100.00	Facility	26	$25.22	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $54.73 / $262.94	Professional		$39.03	$54.73	$262.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $15.47 / $117.24	Professional	26	$10.98	$15.47	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $39.86 / $201.73	Professional	TC	$27.43	$39.86	$201.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $48.77 / $76.42	Professional		$37.86	$48.77	$76.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $13.43 / $22.04	Professional	26	$10.89	$13.43	$22.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.77 / $34.21 / $55.07	Professional	TC	$26.77	$34.21	$55.07