Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.72 / $61.94 / $101.92	Facility	26	$37.72	$61.94	$101.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $62.39 / $187.30	Professional		$53.18	$62.39	$187.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $44.37 / $175.46	Professional	26	$37.72	$44.37	$175.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $18.38 / $38.84	Professional	TC	$15.45	$18.38	$38.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.97 / $64.97 / $64.97	Professional	26	$64.97	$64.97	$64.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $75.19 / $122.94	Professional		$61.76	$75.19	$122.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.92 / $55.39 / $87.27	Professional	26	$44.92	$55.39	$87.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $20.71 / $35.40	Professional	TC	$16.84	$20.71	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $87.80 / $131.74	Professional		$60.03	$87.80	$131.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $62.81 / $98.60	Professional	26	$43.41	$62.81	$98.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $25.59 / $39.86	Professional	TC	$17.82	$25.59	$39.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $210.41 / $210.41	Facility	26	$107.57	$210.41	$210.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $83.17 / $404.61	Professional		$63.34	$83.17	$404.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.34 / $57.43 / $402.86	Professional	26	$44.34	$57.43	$402.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $23.17 / $402.86	Professional	TC	$18.61	$23.17	$402.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $115.77 / $115.77	Professional		$115.77	$115.77	$115.77
United Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $75.61 / $132.80	Professional		$57.81	$75.61	$132.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.16 / $54.75 / $94.56	Professional	26	$44.16	$54.75	$94.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $22.28 / $37.79	Professional	TC	$17.55	$22.28	$37.79