Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.56 / $19.48 / $33.76	Facility	26	$14.56	$19.48	$33.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $61.76 / $240.00	Professional		$51.49	$61.76	$240.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $16.00 / $46.21	Professional	26	$13.26	$16.00	$46.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $44.12 / $103.60	Professional	TC	$37.11	$44.12	$103.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $48.95 / $101.94	Professional		$48.95	$48.95	$101.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $15.35 / $19.39	Professional	26	$11.19	$15.35	$19.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $65.19 / $113.74	Professional		$52.99	$65.19	$113.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $19.64 / $31.96	Professional	26	$15.93	$19.64	$31.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.06 / $46.37 / $80.04	Professional	TC	$37.06	$46.37	$80.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $75.34 / $121.17	Professional		$46.59	$75.34	$121.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $21.47 / $33.54	Professional	26	$13.24	$21.47	$33.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.74 / $53.26 / $92.81	Professional	TC	$34.74	$53.26	$92.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $70.00 / $70.00	Facility	26	$35.32	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $71.89 / $395.03	Professional		$54.76	$71.89	$395.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $19.82 / $93.99	Professional	26	$15.43	$19.82	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.59 / $49.95 / $301.02	Professional	TC	$38.59	$49.95	$301.02
United Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $65.88 / $112.70	Professional		$53.92	$65.88	$112.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $18.88 / $30.86	Professional	26	$15.23	$18.88	$30.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.50 / $45.52 / $82.97	Professional	TC	$38.50	$45.52	$82.97