Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $9.59 / $16.75	Facility	26	$7.75	$9.59	$16.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $34.14 / $112.18	Professional		$13.07	$34.14	$112.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.85 / $41.36	Professional	26	$7.06	$11.85	$41.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $23.55 / $57.99	Professional	TC	$18.84	$23.55	$57.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $27.92 / $42.89	Professional		$18.69	$27.92	$42.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $8.38 / $12.00	Professional	26	$5.92	$8.38	$12.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $33.43 / $53.28	Professional		$26.39	$33.43	$53.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.50 / $16.92	Professional	26	$8.30	$10.50	$16.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.58 / $50.14 / $79.92	Professional	50	$39.58	$50.14	$79.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $23.56 / $39.14	Professional	TC	$18.09	$23.56	$39.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $38.15 / $63.16	Professional		$23.53	$38.15	$63.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $11.25 / $17.64	Professional	26	$6.95	$11.25	$17.64
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $27.02 / $48.34	Professional	TC	$17.48	$27.02	$48.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $41.64 / $206.66	Professional		$28.23	$41.64	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.60 / $79.26	Professional	26	$8.23	$11.60	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $29.92 / $161.00	Professional	TC	$19.64	$29.92	$161.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $14.50 / $14.50	Professional	26	$14.50	$14.50	$14.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $34.54 / $59.25	Professional		$27.58	$34.54	$59.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.50 / $16.23	Professional	26	$7.79	$9.50	$16.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $24.77 / $42.79	Professional	TC	$19.48	$24.77	$42.79