Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.69 / $32.33 / $53.20	Facility	26	$19.69	$32.33	$53.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $61.03 / $230.25	Professional		$31.35	$61.03	$230.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $25.39 / $103.35	Professional	26	$19.69	$25.39	$103.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.65 / $23.48 / $148.47	Professional	TC	$11.65	$23.48	$148.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $28.96 / $28.96	Professional		$28.96	$28.96	$28.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.08 / $30.92 / $43.44	Professional	26	$25.08	$30.92	$43.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $73.09 / $150.22	Professional		$48.70	$73.09	$150.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $34.27 / $54.15	Professional	26	$23.46	$34.27	$54.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $32.03 / $92.98	Professional	TC	$25.24	$32.03	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $75.78 / $123.00	Professional		$35.97	$75.78	$123.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $36.15 / $51.51	Professional	26	$23.25	$36.15	$51.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.91 / $35.76 / $83.98	Professional	TC	$14.91	$35.76	$83.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $120.92 / $120.92	Facility	26	$55.73	$120.92	$120.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $82.28 / $441.00	Professional		$44.21	$82.28	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $31.97 / $338.48	Professional	26	$24.28	$31.97	$338.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $48.38 / $338.48	Professional	TC	$20.25	$48.38	$338.48
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $43.47 / $43.47	Professional	26	$43.47	$43.47	$43.47
United Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $73.97 / $119.81	Professional		$44.21	$73.97	$119.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.73 / $30.06 / $54.37	Professional	26	$23.73	$30.06	$54.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $32.15 / $65.03	Professional	TC	$19.53	$32.15	$65.03