Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $24.55 / $53.70	Facility		$5.37	$24.55	$53.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $15.85 / $23.44	Facility	26	$7.08	$15.85	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.85 / $42.66	Professional		$9.33	$15.85	$42.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.71 / $34.67	Professional	26	$6.03	$8.71	$34.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $29.51	Professional	50	$11.48	$11.48	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.16 / $8.91	Professional	TC	$2.00	$3.16	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.55 / $16.60	Professional		$8.71	$9.55	$16.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $7.59 / $8.51	Professional	26	$7.59	$7.59	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $23.44	Professional		$12.02	$15.85	$23.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $16.98	Professional	26	$7.94	$10.47	$16.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $23.44 / $35.48	Professional	50	$17.78	$23.44	$35.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.57 / $6.76	Professional	TC	$3.39	$4.57	$6.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.24 / $8.32	Facility		$2.45	$3.24	$8.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $20.42	Professional		$12.30	$13.49	$20.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.91 / $12.88	Professional	26	$8.32	$8.91	$12.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $4.37 / $6.31	Professional	TC	$3.98	$4.37	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $114.82	Facility		$10.96	$13.80	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $30.90	Professional		$10.00	$15.49	$30.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $22.39	Professional	26	$6.92	$10.96	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $5.13 / $10.23	Professional	TC	$2.95	$5.13	$10.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.22 / $40.74	Facility		$10.00	$16.22	$40.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $100.00 / $100.00	Facility	26	$17.78	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $1,412.54	Professional		$10.96	$15.85	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.96 / $1,288.25	Professional	26	$7.41	$10.96	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $5.37 / $977.24	Professional	TC	$3.31	$5.37	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $25.70 / $38.02	Facility		$14.13	$25.70	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $20.89	Professional		$10.96	$13.49	$20.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $14.13	Professional	26	$7.41	$9.55	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.16 / $4.37 / $6.92	Professional	TC	$3.16	$4.37	$6.92