Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.68 / $20.04 / $32.97	Facility	26	$12.68	$20.04	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.55 / $232.00	Professional		$43.65	$54.55	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $14.06 / $35.70	Professional	26	$12.67	$14.06	$35.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $39.14 / $92.34	Professional	TC	$30.92	$39.14	$92.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $88.86 / $88.86	Professional		$88.86	$88.86	$88.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $10.82 / $10.82	Professional	26	$10.82	$10.82	$10.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $60.92 / $103.31	Professional		$49.52	$60.92	$103.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $18.14 / $31.22	Professional	26	$14.95	$18.14	$31.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.57 / $43.27 / $72.40	Professional	TC	$34.57	$43.27	$72.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $16.20	Facility	26	$16.20	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $71.08 / $110.06	Professional		$43.57	$71.08	$110.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $20.64 / $31.70	Professional	26	$12.38	$20.64	$31.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.10 / $51.31 / $78.63	Professional	TC	$32.10	$51.31	$78.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.46 / $70.00 / $70.00	Facility	26	$33.46	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $74.81 / $325.58	Professional		$46.01	$74.81	$325.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $21.22 / $91.83	Professional	26	$12.89	$21.22	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $54.17 / $233.75	Professional	TC	$33.11	$54.17	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $63.99 / $130.76	Professional		$42.11	$63.99	$130.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $18.55 / $39.63	Professional	26	$12.89	$18.55	$39.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.21 / $46.76 / $93.80	Professional	TC	$31.21	$46.76	$93.80