Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $36.94 / $57.49	Facility	26	$27.92	$36.94	$57.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $125.71 / $472.95	Professional		$74.64	$125.71	$472.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $49.03 / $143.00	Professional	26	$27.64	$49.03	$143.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.68 / $61.17 / $172.97	Professional	TC	$43.68	$61.17	$172.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $81.61 / $112.99	Professional		$59.80	$81.61	$112.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.79 / $52.23	Professional	26	$22.91	$35.79	$52.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $79.70 / $79.70	Professional	TC	$69.06	$79.70	$79.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $95.35 / $159.33	Professional		$77.47	$95.35	$159.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $39.76 / $62.56	Professional	26	$32.32	$39.76	$62.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.14 / $56.51 / $100.38	Professional	TC	$45.14	$56.51	$100.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $105.12 / $178.02	Professional		$65.08	$105.12	$178.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $41.07 / $75.81	Professional	26	$26.38	$41.07	$75.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.95 / $64.77 / $110.31	Professional	TC	$40.95	$64.77	$110.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.90 / $139.28 / $139.28	Facility	26	$72.90	$139.28	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $104.39 / $524.64	Professional		$83.39	$104.39	$524.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $40.38 / $195.35	Professional	26	$30.95	$40.38	$195.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.66 / $63.38 / $329.23	Professional	TC	$50.66	$63.38	$329.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $56.11 / $56.11 / $60.06	Professional	26	$56.11	$56.11	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $93.23 / $169.62	Professional		$79.34	$93.23	$169.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.38 / $36.03 / $60.00	Professional	26	$29.38	$36.03	$60.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.12 / $59.58 / $104.66	Professional	TC	$48.12	$59.58	$104.66