Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.18 / $43.93 / $75.95	Facility	26	$29.18	$43.93	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $82.09 / $329.00	Professional		$71.45	$82.09	$329.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $34.14 / $104.80	Professional	26	$29.17	$34.14	$104.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.92 / $47.98 / $94.18	Professional	TC	$41.92	$47.98	$94.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $58.43 / $58.43	Professional		$58.43	$58.43	$58.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $34.64 / $52.36	Professional	26	$24.53	$34.64	$52.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $92.23 / $169.47	Professional		$75.42	$92.23	$169.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $39.89 / $71.92	Professional	26	$34.29	$39.89	$71.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.13 / $51.11 / $96.19	Professional	TC	$41.13	$51.11	$96.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $106.96 / $169.00	Professional		$67.83	$106.96	$169.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $47.38 / $72.88	Professional	26	$28.84	$47.38	$72.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.96 / $62.26 / $101.10	Professional	TC	$37.96	$62.26	$101.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $149.85 / $149.85	Facility	26	$78.25	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $100.48 / $546.16	Professional		$79.40	$100.48	$546.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.94 / $42.88 / $210.44	Professional	26	$33.94	$42.88	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $57.60 / $335.78	Professional	TC	$44.84	$57.60	$335.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $60.21 / $60.21 / $60.21	Professional	26	$60.21	$60.21	$60.21
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $92.42 / $159.09	Professional		$76.95	$92.42	$159.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $40.71 / $65.45	Professional	26	$33.28	$40.71	$65.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $53.32 / $92.33	Professional	TC	$43.67	$53.32	$92.33