Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.48 / $49.26 / $61.60	Facility	26	$44.48	$49.26	$61.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $95.31 / $143.81	Professional		$65.54	$95.31	$143.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.85 / $49.26 / $97.83	Professional	26	$41.85	$49.26	$97.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $44.94 / $65.80	Professional	TC	$23.28	$44.94	$65.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $86.05 / $115.70	Professional		$68.58	$86.05	$115.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.14 / $52.14 / $57.74	Professional	26	$45.14	$52.14	$57.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $36.00 / $36.00	Professional	TC	$36.00	$36.00	$36.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $136.12	Professional		$63.10	$75.86	$136.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $51.14 / $83.06	Professional	26	$41.84	$51.14	$83.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $24.98 / $52.18	Professional	TC	$20.49	$24.98	$52.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $101.11 / $179.11	Professional		$73.06	$101.11	$179.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.61 / $58.25 / $100.48	Professional	26	$40.61	$58.25	$100.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.67 / $41.12 / $71.73	Professional	TC	$24.67	$41.12	$71.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $190.77	Facility	26	$95.51	$95.51	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $99.40 / $622.15	Professional		$63.81	$99.40	$622.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $58.83 / $262.07	Professional	26	$39.75	$58.83	$262.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $38.29 / $264.17	Professional	TC	$21.05	$38.29	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $91.20 / $164.57	Professional		$59.72	$91.20	$164.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $55.51 / $94.12	Professional	26	$39.14	$55.51	$94.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $35.65 / $64.01	Professional	TC	$21.05	$35.65	$64.01