Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.64 / $42.55 / $66.83	Facility	26	$34.64	$42.55	$66.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $138.75 / $506.00	Professional		$80.98	$138.75	$506.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $55.04 / $154.00	Professional	26	$31.54	$55.04	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.43 / $64.31 / $182.77	Professional	TC	$49.43	$64.31	$182.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $112.70 / $134.78	Professional		$65.92	$112.70	$134.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $37.07 / $53.11	Professional	26	$26.39	$37.07	$53.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.24 / $77.83 / $91.26	Professional	TC	$43.24	$77.83	$91.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $110.11 / $175.07	Professional		$88.89	$110.11	$175.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $46.16 / $70.11	Professional	26	$37.53	$46.16	$70.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.36 / $64.28 / $107.62	Professional	TC	$51.36	$64.28	$107.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $118.24 / $203.62	Professional		$74.81	$118.24	$203.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $48.13 / $87.23	Professional	26	$30.47	$48.13	$87.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.64 / $71.86 / $124.84	Professional	TC	$45.64	$71.86	$124.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $163.00 / $163.00	Facility	26	$84.15	$163.00	$163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $118.24 / $600.27	Professional		$95.28	$118.24	$600.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.01 / $45.90 / $233.19	Professional	26	$36.01	$45.90	$233.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.15 / $70.39 / $372.64	Professional	TC	$57.15	$70.39	$372.64
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $64.76 / $64.76 / $64.76	Professional	26	$64.76	$64.76	$64.76
United Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $107.18 / $171.60	Professional		$89.63	$107.18	$171.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.43 / $42.79 / $84.26	Professional	26	$34.43	$42.79	$84.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $67.51 / $125.17	Professional	TC	$56.23	$67.51	$125.17