Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.73 / $24.06 / $31.51	Facility	26	$21.73	$24.06	$31.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $62.83 / $110.08	Professional		$39.60	$62.83	$110.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $23.71 / $36.17	Professional	26	$19.21	$23.71	$36.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $38.45 / $59.60	Professional	TC	$18.23	$38.45	$59.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $72.23 / $77.45	Professional		$72.23	$72.23	$77.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $22.40 / $23.77	Professional	26	$22.40	$22.40	$23.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $46.36 / $86.16	Professional		$37.84	$46.36	$86.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $25.98 / $41.98	Professional	26	$21.11	$25.98	$41.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $19.80 / $47.92	Professional	TC	$15.58	$19.80	$47.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $64.34 / $119.74	Professional		$45.33	$64.34	$119.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $29.34 / $51.12	Professional	26	$20.30	$29.34	$51.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $36.18 / $58.32	Professional	TC	$19.57	$36.18	$58.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $47.70 / $97.62	Facility	26	$47.70	$47.70	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $64.36 / $378.70	Professional		$39.43	$64.36	$378.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $29.96 / $130.11	Professional	26	$20.19	$29.96	$130.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $34.50 / $242.47	Professional	TC	$17.01	$34.50	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $60.95 / $121.89	Professional		$37.99	$60.95	$121.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $27.58 / $49.72	Professional	26	$19.48	$27.58	$49.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $32.52 / $60.38	Professional	TC	$17.01	$32.52	$60.38