Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $51.29	Professional		$21.88	$25.70	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $25.70	Professional	26	$18.20	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.44	Professional	TC	$3.02	$3.98	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $89.13	Professional		$28.84	$44.67	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.70 / $50.12	Professional	26	$20.89	$25.70	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $9.55 / $48.98	Professional	TC	$3.80	$9.55	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $44.67	Professional		$25.12	$28.84	$44.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.44 / $32.36	Professional	26	$20.89	$23.44	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.17 / $4.79 / $12.02	Professional	TC	$4.17	$4.79	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $74.13	Professional		$20.42	$31.62	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.99 / $42.66	Professional	26	$17.38	$23.99	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $5.75 / $44.67	Professional	TC	$3.24	$5.75	$44.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $100.00	Facility	26	$47.86	$47.86	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $316.23	Professional		$22.39	$43.65	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.30 / $158.49	Professional	26	$17.38	$26.30	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $9.55 / $218.78	Professional	TC	$3.72	$9.55	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $60.26	Professional		$21.38	$32.36	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $21.88 / $38.02	Professional	26	$16.22	$21.88	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $5.50 / $30.90	Professional	TC	$3.47	$5.50	$30.90