Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.40 / $10.50 / $19.79	Facility	26	$8.40	$10.50	$19.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $32.60 / $151.59	Professional		$20.57	$32.60	$151.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $9.10 / $34.51	Professional	26	$7.65	$9.10	$34.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.58 / $61.24 / $117.10	Professional	50	$54.58	$61.24	$117.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $19.73 / $59.10	Professional	TC	$12.92	$19.73	$59.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $9.07 / $12.99	Professional	26	$6.43	$9.07	$12.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $35.29 / $54.02	Professional		$27.90	$35.29	$54.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $11.40 / $17.66	Professional	26	$8.97	$11.40	$17.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.85 / $52.44 / $81.03	Professional	50	$41.85	$52.44	$81.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $23.37 / $35.96	Professional	TC	$17.60	$23.37	$35.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $36.22 / $59.12	Professional		$19.23	$36.22	$59.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $12.38 / $19.12	Professional	26	$7.25	$12.38	$19.12
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	50	$41.47	$41.47	$41.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $24.29 / $41.29	Professional	TC	$13.19	$24.29	$41.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $100.00 / $100.00	Facility	26	$20.23	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $38.00 / $203.00	Professional		$26.74	$38.00	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.56 / $84.21	Professional	26	$8.91	$12.56	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $25.86 / $165.00	Professional	TC	$17.82	$25.86	$165.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $15.70 / $15.70	Professional	26	$15.70	$15.70	$15.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $31.79 / $51.23	Professional		$25.73	$31.79	$51.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.71 / $17.82	Professional	26	$8.52	$10.71	$17.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.47 / $22.59 / $37.79	Professional	TC	$16.47	$22.59	$37.79