Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $31.62 / $43.65	Facility	26	$12.02	$31.62	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $158.49	Professional		$40.74	$53.70	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $46.77	Professional	26	$10.96	$14.13	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $93.33	Professional	TC	$28.18	$36.31	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.75	Professional	26	$11.22	$11.22	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $97.72	Professional		$48.98	$60.26	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.38 / $27.54	Professional	26	$14.79	$17.38	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $69.18	Professional	TC	$34.67	$42.66	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $81.28	Professional		$56.23	$58.88	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $16.22 / $24.55	Professional	26	$15.49	$16.22	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $43.65 / $57.54	Professional	TC	$41.69	$43.65	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $125.89	Professional		$43.65	$69.18	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.95 / $37.15	Professional	26	$12.59	$19.95	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $50.12 / $93.33	Professional	TC	$33.11	$50.12	$93.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $70.79 / $70.79	Facility	26	$33.11	$70.79	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $323.59	Professional		$43.65	$74.13	$323.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.89 / $91.20	Professional	26	$12.02	$20.89	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $234.42	Professional	TC	$30.90	$53.70	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $102.33	Professional		$42.66	$60.26	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.38 / $29.51	Professional	26	$12.02	$17.38	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $42.66 / $75.86	Professional	TC	$30.90	$42.66	$75.86