Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.28 / $27.07 / $47.61	Facility	26	$18.28	$27.07	$47.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $63.61 / $180.06	Professional		$55.14	$63.61	$180.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.28 / $20.82 / $66.31	Professional	26	$18.28	$20.82	$66.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.69 / $43.42 / $131.81	Professional	TC	$36.69	$43.42	$131.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $17.43 / $29.30	Professional	26	$17.43	$17.43	$29.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $75.90 / $135.25	Professional		$61.81	$75.90	$135.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $28.71 / $46.64	Professional	26	$22.58	$28.71	$46.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $49.30 / $87.79	Professional	TC	$39.24	$49.30	$87.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $87.20 / $137.01	Professional		$53.19	$87.20	$137.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $29.96 / $45.68	Professional	26	$18.59	$29.96	$45.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $57.24 / $87.66	Professional	TC	$35.86	$57.24	$87.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $94.47 / $94.47	Facility	26	$49.19	$94.47	$94.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $83.01 / $420.07	Professional		$61.03	$83.01	$420.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $28.48 / $132.09	Professional	26	$21.60	$28.48	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.43 / $53.72 / $288.04	Professional	TC	$39.43	$53.72	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $72.61 / $124.04	Professional		$61.03	$72.61	$124.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.48 / $26.08 / $43.07	Professional	26	$21.48	$26.08	$43.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.77 / $48.84 / $80.97	Professional	TC	$37.77	$48.84	$80.97