Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.61 / $15.15 / $27.58	Facility	26	$10.61	$15.15	$27.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $42.37 / $102.62	Professional		$35.82	$42.37	$102.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $12.28 / $47.38	Professional	26	$10.44	$12.28	$47.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $31.80 / $74.73	Professional	TC	$25.14	$31.80	$74.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.78 / $34.78	Professional		$34.78	$34.78	$34.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.58 / $18.03	Professional	26	$8.94	$12.58	$18.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $46.46 / $76.70	Professional		$35.96	$46.46	$76.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $14.10 / $22.42	Professional	26	$10.73	$14.10	$22.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $31.97 / $54.65	Professional	TC	$25.24	$31.97	$54.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $52.89 / $82.63	Professional		$32.72	$52.89	$82.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $15.28 / $26.52	Professional	26	$9.42	$15.28	$26.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $38.04 / $59.40	Professional	TC	$23.87	$38.04	$59.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $100.00 / $100.00	Facility	26	$28.48	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $54.27 / $271.52	Professional		$38.40	$54.27	$271.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $17.04 / $97.41	Professional	26	$11.06	$17.04	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $38.00 / $210.00	Professional	TC	$26.74	$38.00	$210.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.95 / $21.95 / $21.95	Professional	26	$21.95	$21.95	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $45.67 / $78.48	Professional		$37.03	$45.67	$78.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $14.16 / $22.80	Professional	26	$11.04	$14.16	$22.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.67 / $32.79 / $54.85	Professional	TC	$25.67	$32.79	$54.85