Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.87 / $32.96 / $61.06	Facility	26	$25.87	$32.96	$61.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $119.00 / $271.20	Professional		$101.18	$119.00	$271.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $25.92 / $59.03	Professional	26	$23.55	$25.92	$59.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.20 / $96.32 / $215.37	Professional	TC	$82.20	$96.32	$215.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $62.00	Professional		$62.00	$62.00	$62.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $29.76 / $42.16	Professional	26	$19.79	$29.76	$42.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $125.89 / $211.31	Professional		$99.89	$125.89	$211.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $35.10 / $55.82	Professional	26	$27.07	$35.10	$55.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.81 / $92.48 / $169.47	Professional	TC	$72.81	$92.48	$169.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $148.13 / $257.10	Professional		$92.79	$148.13	$257.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $37.31 / $58.80	Professional	26	$22.92	$37.31	$58.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.13 / $112.13 / $204.67	Professional	TC	$73.13	$112.13	$204.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.68 / $121.12 / $121.12	Facility	26	$62.68	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $160.22 / $859.12	Professional		$108.48	$160.22	$859.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $37.84 / $211.35	Professional	26	$27.05	$37.84	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.64 / $122.50 / $689.44	Professional	TC	$80.64	$122.50	$689.44
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $48.48 / $48.48 / $48.48	Professional	26	$48.48	$48.48	$48.48
United Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $130.97 / $232.45	Professional		$108.34	$130.97	$232.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $32.29 / $54.08	Professional	26	$26.21	$32.29	$54.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.44 / $105.58 / $188.38	Professional	TC	$79.44	$105.58	$188.38