Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.06 / $9.59 / $18.30	Facility	26	$7.06	$9.59	$18.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.01 / $30.03 / $43.60	Facility	TC	$20.01	$30.03	$43.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $28.16 / $148.00	Professional		$24.85	$28.16	$148.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $8.00 / $25.36	Professional	26	$7.05	$8.00	$25.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.02 / $42.21	Professional	TC	$17.67	$20.02	$42.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $10.33 / $12.00	Professional	26	$5.92	$10.33	$12.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $31.81 / $55.85	Professional		$25.77	$31.81	$55.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.24 / $17.34	Professional	26	$8.30	$10.24	$17.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $21.85 / $38.28	Professional	TC	$17.46	$21.85	$38.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $37.32 / $63.09	Professional		$22.69	$37.32	$63.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $11.45 / $17.64	Professional	26	$6.97	$11.45	$17.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $25.12 / $43.34	Professional	TC	$16.13	$25.12	$43.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $70.00 / $70.00	Facility	26	$18.72	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $98.42 / $98.42	Facility	TC	$45.82	$98.42	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $35.15 / $187.12	Professional		$26.89	$35.15	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $10.35 / $51.02	Professional	26	$8.23	$10.35	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.46 / $24.12 / $136.11	Professional	TC	$18.46	$24.12	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $32.53 / $54.70	Professional		$26.69	$32.53	$54.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $9.86 / $15.87	Professional	26	$7.64	$9.86	$15.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $22.79 / $39.15	Professional	TC	$18.29	$22.79	$39.15