Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $21.88 / $36.31	Facility	26	$12.02	$21.88	$36.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $57.54 / $407.38	Facility	TC	$28.84	$57.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $151.36	Professional		$32.36	$42.66	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.45 / $44.67	Professional	26	$10.00	$14.45	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $61.66	Professional	TC	$21.38	$28.18	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Professional		$31.62	$31.62	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.55 / $10.00	Professional	26	$9.33	$9.55	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $72.44	Professional		$36.31	$43.65	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.14 / $23.99	Professional	26	$13.49	$15.14	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.54 / $47.86	Professional	TC	$22.91	$27.54	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $60.26	Professional		$44.67	$45.71	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $13.80 / $19.50	Professional	26	$13.49	$13.80	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $32.36 / $39.81	Professional	TC	$29.51	$32.36	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $93.33	Professional		$33.11	$51.29	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.78 / $33.11	Professional	26	$11.48	$17.78	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $66.07	Professional	TC	$21.88	$34.67	$66.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $70.79 / $70.79	Facility	26	$30.20	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $134.90 / $134.90	Facility	TC	$63.10	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $275.42	Professional		$35.48	$50.12	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.60 / $81.28	Professional	26	$12.02	$16.60	$81.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $194.98	Professional	TC	$23.99	$33.11	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $72.44	Professional		$36.31	$44.67	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $25.70	Professional	26	$12.30	$15.49	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $29.51 / $48.98	Professional	TC	$23.99	$29.51	$48.98