Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.49 / $18.14 / $29.86	Facility	26	$11.49	$18.14	$29.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $56.12 / $132.76	Professional		$46.95	$56.12	$132.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $13.40 / $47.16	Professional	26	$11.49	$13.40	$47.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $42.57 / $101.94	Professional	TC	$35.61	$42.57	$101.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $45.04 / $45.04	Professional		$45.04	$45.04	$45.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $12.42 / $17.23	Professional	26	$9.85	$12.42	$17.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.49 / $39.49 / $39.49	Professional	TC	$39.49	$39.49	$39.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $60.08 / $103.70	Professional		$48.44	$60.08	$103.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $17.48 / $28.28	Professional	26	$13.87	$17.48	$28.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.66 / $90.12 / $155.55	Professional	50	$72.66	$90.12	$155.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.57 / $43.26 / $74.54	Professional	TC	$34.57	$43.26	$74.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $69.20 / $118.92	Professional		$44.95	$69.20	$118.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $18.82 / $29.81	Professional	26	$11.50	$18.82	$29.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.78 / $50.25 / $90.97	Professional	TC	$32.78	$50.25	$90.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.19 / $70.00 / $70.00	Facility	26	$31.19	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $67.73 / $379.94	Professional		$49.93	$67.73	$379.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $17.36 / $83.23	Professional	26	$13.37	$17.36	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.20 / $48.35 / $296.70	Professional	TC	$36.20	$48.35	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $63.88 / $108.74	Professional		$49.93	$63.88	$108.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $16.69 / $28.14	Professional	26	$13.10	$16.69	$28.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $44.37 / $78.86	Professional	TC	$35.79	$44.37	$78.86