Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.15 / $7.62 / $11.83	Facility	26	$6.15	$7.62	$11.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.58 / $32.84 / $326.39	Facility	TC	$21.58	$32.84	$326.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $32.64 / $133.00	Professional		$23.20	$32.64	$133.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.59 / $9.26 / $26.00	Professional	26	$5.59	$9.26	$26.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $25.63 / $97.00	Professional	TC	$19.09	$25.63	$97.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $21.64 / $42.89	Professional		$19.87	$21.64	$42.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $6.64 / $9.97	Professional	26	$4.68	$6.64	$9.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Professional	TC	$32.44	$32.44	$32.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $32.65 / $52.45	Professional		$25.93	$32.65	$52.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $8.59 / $13.30	Professional	26	$6.60	$8.59	$13.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $24.27 / $39.15	Professional	TC	$19.32	$24.27	$39.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $35.52 / $58.70	Professional		$21.62	$35.52	$58.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.46 / $9.06 / $13.96	Professional	26	$5.46	$9.06	$13.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $27.57 / $44.82	Professional	TC	$17.34	$27.57	$44.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $100.00 / $100.00	Facility	26	$14.85	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $102.96 / $102.96	Facility	TC	$47.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $36.69 / $187.25	Professional		$25.37	$36.69	$187.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $9.22 / $54.49	Professional	26	$6.52	$9.22	$54.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $28.14 / $146.99	Professional	TC	$18.60	$28.14	$146.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $11.47 / $11.47	Professional	26	$11.47	$11.47	$11.47
United Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $31.49 / $54.17	Professional		$24.33	$31.49	$54.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $7.84 / $12.86	Professional	26	$6.36	$7.84	$12.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $24.27 / $43.30	Professional	TC	$18.60	$24.27	$43.30