Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $25.96 / $49.64	Professional		$22.52	$25.96	$49.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $19.85 / $56.92	Professional	26	$15.79	$19.85	$56.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.38 / $6.74 / $16.38	Professional	TC	$6.38	$6.74	$16.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $27.09 / $30.00	Professional	26	$9.02	$27.09	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $28.91 / $56.91	Professional		$12.53	$28.91	$56.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $22.07 / $43.91	Professional	26	$9.36	$22.07	$43.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.72 / $6.38 / $13.02	Professional	TC	$2.72	$6.38	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $15.34 / $74.06	Professional		$13.59	$15.34	$74.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $13.68 / $60.18	Professional	26	$10.28	$13.68	$60.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.23 / $5.09 / $16.92	Professional	TC	$3.23	$5.09	$16.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.38 / $95.38 / $95.38	Facility	26	$95.38	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $31.37 / $180.45	Professional		$18.19	$31.37	$180.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $24.31 / $134.87	Professional	26	$13.86	$24.31	$134.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $7.60 / $45.58	Professional	TC	$4.33	$7.60	$45.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $30.32 / $58.88	Professional		$17.36	$30.32	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $23.01 / $45.43	Professional	26	$13.29	$23.01	$45.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $6.99 / $13.72	Professional	TC	$4.33	$6.99	$13.72