Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $24.55 / $36.31	Facility	26	$20.89	$24.55	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $128.82	Professional		$42.66	$61.66	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $56.23	Professional	26	$18.20	$22.91	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $37.15 / $69.18	Professional	TC	$18.20	$37.15	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $79.43	Professional		$46.77	$61.66	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $21.38 / $25.12	Professional	26	$17.78	$21.38	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $89.13	Professional		$38.02	$46.77	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.70 / $38.90	Professional	26	$21.38	$25.70	$38.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.95 / $50.12	Professional	TC	$15.49	$19.95	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $89.13	Professional		$46.77	$61.66	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $24.55 / $37.15	Professional	26	$20.89	$24.55	$37.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $36.31 / $56.23	Professional	TC	$19.50	$36.31	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $109.65	Professional		$44.67	$63.10	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $29.51 / $47.86	Professional	26	$21.38	$29.51	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $35.48 / $60.26	Professional	TC	$19.50	$35.48	$60.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $97.72 / $97.72	Facility	26	$47.86	$97.72	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $380.19	Professional		$39.81	$64.57	$380.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $128.82	Professional	26	$19.50	$30.20	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $34.67 / $239.88	Professional	TC	$18.20	$34.67	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $91.20	Professional		$38.02	$53.70	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $42.66	Professional	26	$18.62	$25.70	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $30.20 / $50.12	Professional	TC	$16.98	$30.20	$50.12