Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.07 / $10.64 / $18.42	Facility	26	$7.07	$10.64	$18.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.62 / $145.28	Professional		$26.78	$31.62	$145.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $8.13 / $33.84	Professional	26	$7.07	$8.13	$33.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.47 / $56.86	Professional	TC	$19.46	$23.47	$56.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Professional		$19.23	$19.23	$19.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $8.50 / $10.77	Professional	26	$6.21	$8.50	$10.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.15 / $21.15 / $21.15	Professional	TC	$21.15	$21.15	$21.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $34.72 / $56.14	Professional		$27.99	$34.72	$56.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.06 / $17.66	Professional	26	$8.66	$11.06	$17.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $24.46 / $40.20	Professional	TC	$19.32	$24.46	$40.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $39.40 / $65.09	Professional		$24.77	$39.40	$65.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $11.59 / $17.67	Professional	26	$7.07	$11.59	$17.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $28.19 / $49.63	Professional	TC	$18.07	$28.19	$49.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $42.60 / $210.99	Professional		$29.23	$42.60	$210.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.08 / $82.56	Professional	26	$8.58	$12.08	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $30.24 / $159.97	Professional	TC	$20.43	$30.24	$159.97
United Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $35.61 / $60.83	Professional		$28.39	$35.61	$60.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.29 / $16.35	Professional	26	$8.46	$10.29	$16.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $24.44 / $43.46	Professional	TC	$19.69	$24.44	$43.46