Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $188.91 / $351.12	Facility		$37.28	$188.91	$351.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $10.37 / $16.64	Facility	26	$7.75	$10.37	$16.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.83 / $58.11 / $427.14	Facility	TC	$22.83	$58.11	$427.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $33.03 / $120.00	Professional		$13.58	$33.03	$120.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $11.72 / $39.90	Professional	26	$7.14	$11.72	$39.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.48 / $64.20	Professional	TC	$18.82	$23.48	$64.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $27.72 / $47.07	Professional		$18.30	$27.72	$47.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $7.96 / $11.68	Professional	26	$5.69	$7.96	$11.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.94 / $26.94 / $33.61	Professional	TC	$26.94	$26.94	$33.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $33.95 / $57.03	Professional		$27.32	$33.95	$57.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.82 / $17.57	Professional	26	$8.30	$10.82	$17.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.02 / $24.13 / $39.36	Professional	TC	$19.02	$24.13	$39.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $84.19 / $247.79	Facility		$51.74	$84.19	$247.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $39.69 / $63.03	Professional		$24.61	$39.69	$63.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $11.50 / $17.16	Professional	26	$6.88	$11.50	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $28.49 / $47.79	Professional	TC	$17.48	$28.49	$47.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $44.79 / $95.05	Facility		$28.60	$44.79	$95.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $110.49 / $110.49	Facility	TC	$51.52	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $40.95 / $204.50	Professional		$29.65	$40.95	$204.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.60 / $74.30	Professional	26	$8.39	$11.60	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $30.05 / $176.00	Professional	TC	$20.97	$30.05	$176.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $54.13 / $54.13	Professional		$54.13	$54.13	$54.13
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $13.95 / $13.95	Professional	26	$13.95	$13.95	$13.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $34.70 / $59.85	Professional		$28.58	$34.70	$59.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.84 / $15.87	Professional	26	$7.97	$9.84	$15.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.64 / $25.29 / $41.31	Professional	TC	$20.64	$25.29	$41.31