Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $31.01 / $116.52	Professional		$25.29	$31.01	$116.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $13.71 / $22.87	Professional	26	$12.20	$13.71	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.08 / $15.36 / $35.28	Professional	TC	$13.08	$15.36	$35.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $18.04 / $18.04	Professional	26	$18.04	$18.04	$18.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $20.02 / $20.02	Professional	TC	$20.02	$20.02	$20.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $47.00 / $84.13	Professional		$36.49	$47.00	$84.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $20.00 / $36.10	Professional	26	$14.62	$20.00	$36.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $27.00 / $49.13	Professional	TC	$18.35	$27.00	$49.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $41.67 / $99.37	Professional		$27.49	$41.67	$99.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $19.55 / $38.36	Professional	26	$13.36	$19.55	$38.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.29 / $21.27 / $61.01	Professional	TC	$14.29	$21.27	$61.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $39.76 / $76.22	Facility		$24.17	$39.76	$76.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $36.40 / $100.00	Facility	26	$36.40	$36.40	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $40.86 / $354.38	Professional		$28.85	$40.86	$354.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $18.01 / $98.32	Professional	26	$12.45	$18.01	$98.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.82 / $23.46 / $180.44	Professional	TC	$14.82	$23.46	$180.44
United Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $36.61 / $63.05	Professional		$26.63	$36.61	$63.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $17.02 / $30.34	Professional	26	$11.97	$17.02	$30.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $19.82 / $33.84	Professional	TC	$13.89	$19.82	$33.84