Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.53 / $43.33 / $65.53	Facility	26	$36.53	$43.33	$65.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $89.20 / $138.30	Professional		$61.28	$89.20	$138.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $43.03 / $81.51	Professional	26	$34.57	$43.03	$81.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $48.74 / $71.55	Professional	TC	$22.57	$48.74	$71.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $95.36 / $108.66	Professional		$67.59	$95.36	$108.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.07 / $42.77 / $54.10	Professional	26	$32.07	$42.77	$54.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $70.84 / $131.71	Professional		$58.56	$70.84	$131.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $46.54 / $74.94	Professional	26	$37.72	$46.54	$74.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $24.12 / $56.41	Professional	TC	$19.21	$24.12	$56.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $96.72 / $177.51	Professional		$67.93	$96.72	$177.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $52.67 / $91.59	Professional	26	$36.54	$52.67	$91.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $43.09 / $69.04	Professional	TC	$23.82	$43.09	$69.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $174.72	Facility	26	$85.71	$85.71	$174.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $96.72 / $568.04	Professional		$60.76	$96.72	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $53.68 / $236.22	Professional	26	$36.15	$53.68	$236.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $40.61 / $285.88	Professional	TC	$20.82	$40.61	$285.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $89.29 / $147.96	Professional		$56.64	$89.29	$147.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $49.42 / $84.10	Professional	26	$33.75	$49.42	$84.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $39.64 / $69.40	Professional	TC	$20.42	$39.64	$69.40