Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $212.16 / $212.16	Facility		$212.16	$212.16	$212.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $36.97 / $90.86	Professional		$25.63	$36.97	$90.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $7.32 / $21.83	Professional	26	$5.68	$7.32	$21.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $24.40 / $88.98	Professional	TC	$20.65	$24.40	$88.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.10 / $4.36 / $10.51	Professional	26	$3.10	$4.36	$10.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $42.62 / $94.14	Professional		$24.46	$42.62	$94.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.08 / $11.14 / $18.00	Professional	26	$6.08	$11.14	$18.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $30.38 / $71.95	Professional	TC	$18.38	$30.38	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $24.14 / $110.78	Professional		$14.64	$24.14	$110.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.23 / $6.56 / $100.32	Professional	26	$3.23	$6.56	$100.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.46 / $21.03 / $91.70	Professional	TC	$11.46	$21.03	$91.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $35.93 / $103.93	Facility		$27.33	$35.93	$103.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $48.24 / $263.07	Professional		$18.84	$48.24	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.33 / $9.28 / $145.30	Professional	26	$4.33	$9.28	$145.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $40.63 / $226.21	Professional	TC	$14.51	$40.63	$226.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $30.64 / $70.92	Professional		$18.84	$30.64	$70.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.13 / $7.14 / $14.44	Professional	26	$4.13	$7.14	$14.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $23.41 / $55.81	Professional	TC	$14.51	$23.41	$55.81