Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.55 / $35.32 / $57.31	Facility	26	$26.55	$35.32	$57.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $101.07 / $372.30	Professional		$51.47	$101.07	$372.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $28.57 / $102.39	Professional	26	$24.17	$28.57	$102.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $40.84 / $151.06	Professional	TC	$27.30	$40.84	$151.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $45.72 / $101.07	Professional		$8.00	$45.72	$101.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.43 / $28.69 / $43.43	Professional	26	$20.43	$28.69	$43.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $80.38 / $217.59	Professional		$54.37	$80.38	$217.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $37.36 / $61.02	Professional	26	$28.51	$37.36	$61.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $32.89 / $139.37	Professional	TC	$25.86	$32.89	$139.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $89.53 / $168.16	Professional		$48.48	$89.53	$168.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $35.28 / $60.32	Professional	26	$23.97	$35.28	$60.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $45.50 / $116.29	Professional	TC	$24.52	$45.50	$116.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.91 / $124.11 / $124.11	Facility	26	$64.91	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $99.84 / $562.97	Professional		$59.12	$99.84	$562.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.75 / $35.56 / $186.58	Professional	26	$27.75	$35.56	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $59.66 / $399.92	Professional	TC	$29.36	$59.66	$399.92
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $49.94 / $49.94 / $49.94	Professional	26	$49.94	$49.94	$49.94
United Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $77.88 / $122.06	Professional		$55.74	$77.88	$122.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $32.69 / $59.53	Professional	26	$26.63	$32.69	$59.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.20 / $38.68 / $82.90	Professional	TC	$28.20	$38.68	$82.90