Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.33 / $10.33 / $12.82	Facility	26	$10.33	$10.33	$12.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $39.35 / $168.00	Professional		$29.69	$39.35	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $13.66 / $62.00	Professional	26	$10.33	$13.66	$62.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $21.58 / $48.18	Professional	TC	$18.77	$21.58	$48.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $42.43 / $42.43	Professional		$42.43	$42.43	$42.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $13.35 / $14.60	Professional	26	$11.41	$13.35	$14.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $38.22 / $68.44	Professional		$31.07	$38.22	$68.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $15.63 / $26.71	Professional	26	$13.27	$15.63	$26.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $22.49 / $40.61	Professional	TC	$17.34	$22.49	$40.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $46.89 / $81.66	Professional		$29.69	$46.89	$81.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $18.48 / $31.51	Professional	26	$10.64	$18.48	$31.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $28.97 / $52.14	Professional	TC	$19.35	$28.97	$52.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.22 / $70.00 / $70.00	Facility	26	$24.22	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $49.07 / $195.66	Professional		$34.33	$49.07	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $19.14 / $69.84	Professional	26	$13.30	$19.14	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $29.89 / $129.61	Professional	TC	$20.51	$29.89	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $45.95 / $84.48	Professional		$32.24	$45.95	$84.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $17.80 / $29.88	Professional	26	$13.30	$17.80	$29.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $28.61 / $50.26	Professional	TC	$19.93	$28.61	$50.26