Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.26 / $28.82 / $54.50	Facility	26	$25.26	$28.82	$54.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $102.49 / $460.00	Professional		$86.07	$102.49	$460.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $27.56 / $71.69	Professional	26	$22.99	$27.56	$71.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $76.04 / $165.61	Professional	TC	$61.40	$76.04	$165.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $77.83 / $84.25	Professional		$60.33	$77.83	$84.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $28.82 / $40.79	Professional	26	$19.21	$28.82	$40.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $111.54 / $191.14	Professional		$96.95	$111.54	$191.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $31.78 / $51.73	Professional	26	$27.12	$31.78	$51.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.92 / $83.67 / $133.05	Professional	TC	$69.92	$83.67	$133.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $122.81 / $233.76	Professional		$82.35	$122.81	$233.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.70 / $34.79 / $64.42	Professional	26	$22.70	$34.79	$64.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.76 / $88.06 / $174.35	Professional	TC	$57.76	$88.06	$174.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $116.58 / $116.58	Facility	26	$61.02	$116.58	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $124.17 / $692.04	Professional		$96.67	$124.17	$692.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.50 / $32.83 / $165.29	Professional	26	$26.50	$32.83	$165.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.94 / $91.96 / $526.74	Professional	TC	$68.94	$91.96	$526.74
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $46.91 / $46.91 / $46.91	Professional	26	$46.91	$46.91	$46.91
United Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $121.80 / $201.86	Professional		$96.67	$121.80	$201.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.09 / $30.50 / $50.34	Professional	26	$26.09	$30.50	$50.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.59 / $91.34 / $155.46	Professional	TC	$67.59	$91.34	$155.46