Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.89 / $16.44 / $32.04	Facility	26	$12.89	$16.44	$32.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $70.68 / $181.18	Professional		$37.65	$70.68	$181.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $15.31 / $44.75	Professional	26	$7.78	$15.31	$44.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.22 / $40.10 / $153.63	Professional	TC	$23.22	$40.10	$153.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $15.73 / $22.53	Professional	26	$11.19	$15.73	$22.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $55.73 / $159.31	Professional		$43.03	$55.73	$159.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $15.72 / $25.22	Professional	26	$10.74	$15.72	$25.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $41.04 / $143.61	Professional	TC	$27.73	$41.04	$143.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $16.93	Facility	26	$16.93	$16.93	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $66.70 / $141.08	Professional		$34.19	$66.70	$141.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $14.20 / $29.90	Professional	26	$8.52	$14.20	$29.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $48.78 / $124.43	Professional	TC	$23.78	$48.78	$124.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $100.00 / $100.00	Facility	26	$34.79	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $69.95 / $475.98	Professional		$41.65	$69.95	$475.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $18.48 / $211.35	Professional	26	$9.30	$18.48	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $53.42 / $429.40	Professional	TC	$25.87	$53.42	$429.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $58.52 / $89.65	Professional		$40.46	$58.52	$89.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $16.19 / $30.17	Professional	26	$8.78	$16.19	$30.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $38.45 / $76.45	Professional	TC	$25.37	$38.45	$76.45