Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.45 / $9.23 / $16.05	Facility	26	$7.45	$9.23	$16.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.47 / $106.20	Professional		$18.05	$30.47	$106.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $11.21 / $36.61	Professional	26	$6.86	$11.21	$36.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.83 / $11.83 / $32.72	Professional	50	$11.83	$11.83	$32.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.52 / $13.84 / $19.64	Professional	52	$11.52	$13.84	$19.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.44 / $21.68 / $52.74	Professional	TC	$17.44	$21.68	$52.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $21.09 / $41.78	Professional		$16.27	$21.09	$41.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $9.63 / $12.13	Professional	26	$5.69	$9.63	$12.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.26 / $17.26 / $17.26	Professional	TC	$17.26	$17.26	$17.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $31.68 / $51.20	Professional		$24.52	$31.68	$51.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $10.41 / $16.23	Professional	26	$7.99	$10.41	$16.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.78 / $47.52 / $76.80	Professional	50	$36.78	$47.52	$76.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $21.93 / $34.97	Professional	TC	$16.53	$21.93	$34.97
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 Professional Modifier Low / Median / High Price $22.07 / $36.42 / $56.91	Professional		$22.07	$36.42	$56.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $11.07 / $16.92	Professional	26	$6.66	$11.07	$16.92
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.50 / $25.42 / $41.85	Professional	TC	$15.50	$25.42	$41.85
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 Professional Modifier Low / Median / High Price $26.57 / $37.42 / $184.96	Professional		$26.57	$37.42	$184.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $11.13 / $67.13	Professional	26	$7.93	$11.13	$67.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $26.29 / $149.00	Professional	TC	$18.57	$26.29	$149.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $48.05 / $48.05	Professional		$48.05	$48.05	$48.05
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 $25.66 / $30.92 / $53.12	Professional		$25.66	$30.92	$53.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $9.52 / $15.77	Professional	26	$7.84	$9.52	$15.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $22.54 / $38.26	Professional	TC	$17.72	$22.54	$38.26