Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $20.59 / $33.86	Facility	26	$13.27	$20.59	$33.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $47.30 / $168.13	Professional		$35.29	$47.30	$168.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $15.13 / $63.46	Professional	26	$13.27	$15.13	$63.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $27.61 / $117.87	Professional	TC	$21.84	$27.61	$117.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $11.72 / $19.41	Professional	26	$6.19	$11.72	$19.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $48.18 / $135.25	Professional		$36.24	$48.18	$135.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $20.36 / $33.85	Professional	26	$15.98	$20.36	$33.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.26 / $28.16 / $105.14	Professional	TC	$20.26	$28.16	$105.14
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 $32.08 / $58.38 / $115.65	Professional		$32.08	$58.38	$115.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $21.57 / $32.46	Professional	26	$13.26	$21.57	$32.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.34 / $38.07 / $87.74	Professional	TC	$20.34	$38.07	$87.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.57 / $100.00 / $100.00	Facility	26	$35.57	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $65.25 / $390.88	Professional		$38.94	$65.25	$390.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $21.78 / $103.00	Professional	26	$15.61	$21.78	$103.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $40.14 / $301.75	Professional	TC	$23.31	$40.14	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $52.01 / $81.56	Professional		$37.46	$52.01	$81.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $18.94 / $30.48	Professional	26	$15.43	$18.94	$30.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $33.53 / $61.49	Professional	TC	$22.33	$33.53	$61.49