Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.96 / $39.28 / $72.31	Facility	26	$31.96	$39.28	$72.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $69.63 / $1,500.00	Professional		$54.01	$69.63	$1,500.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $95.31 / $652.52	Professional	26	$28.73	$95.31	$652.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $35.34 / $197.51	Professional	TC	$26.84	$35.34	$197.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $48.49 / $101.30	Professional		$47.22	$48.49	$101.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $38.07 / $49.48	Professional	26	$25.19	$38.07	$49.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $77.45 / $137.96	Professional		$62.03	$77.45	$137.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $39.52 / $62.07	Professional	26	$32.13	$39.52	$62.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.90 / $37.86 / $75.00	Professional	TC	$29.90	$37.86	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $93.75 / $139.61	Professional		$59.68	$93.75	$139.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.76 / $44.67 / $69.95	Professional	26	$30.76	$44.67	$69.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $49.50 / $69.65	Professional	TC	$32.02	$49.50	$69.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $170.00 / $170.00	Facility	26	$76.59	$170.00	$170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $91.08 / $468.00	Professional		$66.40	$91.08	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.67 / $40.28 / $378.10	Professional	26	$31.67	$40.28	$378.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.21 / $46.55 / $378.10	Professional	TC	$33.21	$46.55	$378.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $116.50 / $116.50	Professional		$116.50	$116.50	$116.50
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $59.72 / $59.72 / $59.72	Professional	26	$59.72	$59.72	$59.72
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $84.14 / $137.33	Professional		$66.00	$84.14	$137.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $40.21 / $68.91	Professional	26	$31.36	$40.21	$68.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $42.67 / $68.42	Professional	TC	$29.14	$42.67	$68.42