Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.43 / $20.60 / $37.40	Facility	26	$14.43	$20.60	$37.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $44.63 / $172.72	Professional		$37.82	$44.63	$172.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $15.85 / $51.88	Professional	26	$14.11	$15.85	$51.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $28.79 / $70.45	Professional	TC	$23.71	$28.79	$70.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $17.12 / $17.12	Professional	26	$17.12	$17.12	$17.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $51.81 / $88.00	Professional		$35.57	$51.81	$88.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $20.50 / $32.40	Professional	26	$15.93	$20.50	$32.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $30.83 / $58.92	Professional	TC	$19.64	$30.83	$58.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $58.77 / $99.82	Professional		$35.29	$58.77	$99.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.53 / $22.28 / $35.92	Professional	26	$13.53	$22.28	$35.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.22 / $63.25	Professional	TC	$21.88	$36.22	$63.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.32 / $80.00 / $80.00	Facility	26	$38.32	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $57.35 / $301.08	Professional		$41.90	$57.35	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.91 / $21.22 / $104.20	Professional	26	$15.91	$21.22	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.24 / $196.89	Professional	TC	$24.55	$37.24	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $52.63 / $85.06	Professional		$40.11	$52.63	$85.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.65 / $19.76 / $31.82	Professional	26	$15.65	$19.76	$31.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $32.36 / $55.89	Professional	TC	$24.26	$32.36	$55.89