Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.15 / $52.23 / $85.93	Facility	26	$43.15	$52.23	$85.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $92.40 / $411.40	Professional		$80.34	$92.40	$411.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.17 / $46.38 / $208.54	Professional	26	$36.17	$46.38	$208.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $50.37 / $213.94	Professional	TC	$38.15	$50.37	$213.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $65.52	Professional		$59.52	$59.52	$65.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $37.15 / $52.31	Professional	26	$27.80	$37.15	$52.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.08 / $35.08 / $35.08	Professional	TC	$35.08	$35.08	$35.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $83.14 / $227.95	Professional		$66.70	$83.14	$227.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.28 / $48.48 / $84.19	Professional	26	$39.28	$48.48	$84.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $36.57 / $142.38	Professional	TC	$27.42	$36.57	$142.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $43.19	Facility	26	$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $114.92 / $239.21	Professional		$60.95	$114.92	$239.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $54.07 / $82.48	Professional	26	$32.99	$54.07	$82.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.02 / $56.88 / $158.27	Professional	TC	$29.02	$56.88	$158.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.63 / $169.56 / $169.56	Facility	26	$88.63	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $120.88 / $1,002.61	Professional		$73.26	$120.88	$1,002.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.35 / $53.59 / $238.39	Professional	26	$40.35	$53.59	$238.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $57.63 / $780.59	Professional	TC	$32.39	$57.63	$780.59
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $68.22 / $68.22 / $68.22	Professional	26	$68.22	$68.22	$68.22
United Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $93.98 / $187.94	Professional		$71.41	$93.98	$187.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.34 / $48.42 / $88.18	Professional	26	$38.34	$48.42	$88.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $40.00 / $105.88	Professional	TC	$29.23	$40.00	$105.88