Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $16.34 / $26.89	Facility	26	$13.49	$16.34	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $106.19 / $275.00	Professional		$84.17	$106.19	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $13.49 / $55.00	Professional	26	$11.23	$13.49	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.93 / $94.01 / $220.00	Professional	TC	$72.93	$94.01	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $12.24 / $12.24	Professional	26	$10.90	$12.24	$12.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $86.91 / $184.00	Professional		$66.02	$86.91	$184.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $15.52 / $25.76	Professional	26	$12.17	$15.52	$25.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.85 / $73.67 / $160.15	Professional	TC	$53.85	$73.67	$160.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $156.34 / $274.64	Professional		$89.89	$156.34	$274.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $16.38 / $26.71	Professional	26	$10.27	$16.38	$26.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.67 / $138.56 / $245.06	Professional	TC	$78.67	$138.56	$245.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.36 / $110.80 / $110.80	Facility	26	$85.36	$110.80	$110.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $161.91 / $876.62	Professional		$112.98	$161.91	$876.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $15.41 / $270.04	Professional	26	$12.21	$15.41	$270.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.92 / $147.68 / $820.61	Professional	TC	$99.92	$147.68	$820.61
United Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $144.90 / $232.42	Professional		$111.04	$144.90	$232.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $14.74 / $27.32	Professional	26	$11.81	$14.74	$27.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.85 / $132.54 / $212.64	Professional	TC	$91.85	$132.54	$212.64