Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.83 / $18.04 / $34.43	Facility	26	$9.83	$18.04	$34.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $39.90 / $107.00	Professional		$18.96	$39.90	$107.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $15.44 / $52.51	Professional	26	$7.48	$15.44	$52.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $23.28 / $45.28	Professional	TC	$11.48	$23.28	$45.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Professional		$71.02	$71.02	$71.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $18.85 / $22.55	Professional	26	$12.64	$18.85	$22.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $24.54 / $68.17	Professional		$15.50	$24.54	$68.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $11.39 / $24.99	Professional	26	$7.99	$11.39	$24.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.51 / $13.40 / $43.00	Professional	TC	$7.51	$13.40	$43.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $32.40 / $79.93	Professional		$17.46	$32.40	$79.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $13.45 / $28.34	Professional	26	$7.42	$13.45	$28.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.97 / $20.05 / $52.32	Professional	TC	$9.97	$20.05	$52.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $100.00 / $100.00	Facility	26	$35.32	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $47.48 / $738.38	Professional		$20.95	$47.48	$738.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $18.63 / $95.54	Professional	26	$8.32	$18.63	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $29.97 / $724.28	Professional	TC	$11.97	$29.97	$724.28
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $27.26 / $27.26	Professional	26	$27.26	$27.26	$27.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $43.63 / $78.04	Professional		$19.04	$43.63	$78.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $16.53 / $30.44	Professional	26	$8.26	$16.53	$30.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.95 / $26.31 / $43.89	Professional	TC	$10.95	$26.31	$43.89