Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.89 / $19.35 / $32.13	Facility	26	$14.89	$19.35	$32.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $51.11 / $237.94	Professional		$43.43	$51.11	$237.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $20.84 / $71.84	Professional	26	$13.55	$20.84	$71.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $34.03 / $83.12	Professional	TC	$29.89	$34.03	$83.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $36.76 / $67.63	Professional		$35.65	$36.76	$67.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $16.09 / $23.05	Professional	26	$11.37	$16.09	$23.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.27 / $50.27 / $50.27	Professional	TC	$50.27	$50.27	$50.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $53.54 / $94.76	Professional		$42.46	$53.54	$94.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $20.60 / $33.04	Professional	26	$15.98	$20.60	$33.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $34.85 / $61.72	Professional	TC	$26.48	$34.85	$61.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $62.57 / $97.65	Professional		$38.67	$62.57	$97.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $21.59 / $33.18	Professional	26	$13.24	$21.59	$33.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.51 / $42.65 / $68.31	Professional	TC	$25.51	$42.65	$68.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $100.00 / $100.00	Facility	26	$36.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $64.48 / $321.19	Professional		$45.01	$64.48	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $21.78 / $128.79	Professional	26	$15.61	$21.78	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.55 / $42.71 / $254.00	Professional	TC	$29.55	$42.71	$254.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $27.90 / $27.90	Professional	26	$27.90	$27.90	$27.90
United Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $55.45 / $93.25	Professional		$44.31	$55.45	$93.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $18.95 / $30.47	Professional	26	$14.62	$18.95	$30.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.20 / $36.44 / $60.83	Professional	TC	$28.20	$36.44	$60.83