Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.55 / $45.60 / $82.15	Facility	26	$31.55	$45.60	$82.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $145.10 / $434.79	Professional		$125.36	$145.10	$434.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $37.28 / $96.07	Professional	26	$31.55	$37.28	$96.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $109.36 / $327.95	Professional	TC	$93.47	$109.36	$327.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $135.66 / $135.66	Professional		$135.66	$135.66	$135.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $27.75 / $56.68	Professional	26	$26.56	$27.75	$56.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $172.47 / $278.77	Professional		$140.21	$172.47	$278.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $43.99 / $72.06	Professional	26	$37.53	$43.99	$72.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $127.56 / $205.55	Professional	TC	$100.00	$127.56	$205.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $180.61 / $316.13	Professional		$115.86	$180.61	$316.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $46.01 / $81.13	Professional	26	$30.40	$46.01	$81.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.40 / $134.96 / $223.06	Professional	TC	$84.40	$134.96	$223.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $161.97 / $161.97	Facility	26	$84.74	$161.97	$161.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $179.16 / $968.58	Professional		$135.29	$179.16	$968.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $45.85 / $227.63	Professional	26	$35.40	$45.85	$227.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.17 / $134.31 / $740.95	Professional	TC	$101.17	$134.31	$740.95
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $65.18 / $65.18 / $65.18	Professional	26	$65.18	$65.18	$65.18
United Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $168.57 / $283.45	Professional		$132.50	$168.57	$283.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $42.00 / $71.51	Professional	26	$34.22	$42.00	$71.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.41 / $124.80 / $211.95	Professional	TC	$98.41	$124.80	$211.95