Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $10.92 / $18.98	Facility	26	$8.07	$10.92	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $38.97 / $147.00	Professional		$32.51	$38.97	$147.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $8.90 / $40.63	Professional	26	$7.35	$8.90	$40.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $29.72 / $65.56	Professional	TC	$22.26	$29.72	$65.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $29.71 / $34.13	Professional		$24.41	$29.71	$34.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $7.40 / $11.73	Professional	26	$6.16	$7.40	$11.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $41.23 / $64.65	Professional		$33.54	$41.23	$64.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.40 / $18.37	Professional	26	$8.61	$11.40	$18.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $50.31 / $61.84 / $96.97	Professional	50	$50.31	$61.84	$96.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.93 / $30.05 / $50.95	Professional	TC	$24.93	$30.05	$50.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $44.06 / $78.56	Professional		$28.73	$44.06	$78.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $11.95 / $18.38	Professional	26	$7.28	$11.95	$18.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $31.96 / $63.12	Professional	TC	$21.59	$31.96	$63.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.35 / $100.00 / $100.00	Facility	26	$19.35	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $47.21 / $260.95	Professional		$31.71	$47.21	$260.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $12.07 / $83.63	Professional	26	$8.66	$12.07	$83.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $36.47 / $207.72	Professional	TC	$22.74	$36.47	$207.72
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $15.05 / $15.05	Professional	26	$15.05	$15.05	$15.05
United Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $42.01 / $73.25	Professional		$31.25	$42.01	$73.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $10.36 / $17.19	Professional	26	$8.41	$10.36	$17.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.84 / $31.59 / $58.14	Professional	TC	$23.84	$31.59	$58.14