Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.69 / $28.08 / $51.42	Facility	26	$22.69	$28.08	$51.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $59.89 / $262.70	Professional		$39.04	$59.89	$262.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $35.78 / $126.00	Professional	26	$20.65	$35.78	$126.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $22.36 / $96.00	Professional	TC	$18.39	$22.36	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $35.90 / $73.94	Professional		$27.27	$35.90	$73.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $30.17 / $40.13	Professional	26	$18.30	$30.17	$40.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $15.88 / $28.57	Professional	TC	$15.88	$15.88	$28.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $54.48 / $109.85	Professional		$44.69	$54.48	$109.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.36 / $31.29 / $48.78	Professional	26	$25.36	$31.29	$48.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $24.18 / $58.99	Professional	TC	$19.32	$24.18	$58.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $60.93 / $127.17	Professional		$37.54	$60.93	$127.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $31.61 / $58.40	Professional	26	$20.27	$31.61	$58.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $27.61 / $76.67	Professional	TC	$17.72	$27.61	$76.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $105.96 / $105.96	Facility	26	$55.98	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $64.86 / $495.56	Professional		$44.34	$64.86	$495.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.01 / $30.81 / $151.44	Professional	26	$24.01	$30.81	$151.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.51 / $29.81 / $367.63	Professional	TC	$19.51	$29.81	$367.63
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $54.07 / $98.86	Professional		$42.59	$54.07	$98.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.06 / $28.51 / $53.09	Professional	26	$23.06	$28.51	$53.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $25.53 / $46.96	Professional	TC	$18.50	$25.53	$46.96