Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.42 / $24.83 / $37.24	Facility	26	$22.42	$24.83	$37.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $57.34 / $83.01	Professional		$29.16	$57.34	$83.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $23.75 / $31.67	Professional	26	$19.55	$23.75	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $34.92 / $47.21	Professional	TC	$10.31	$34.92	$47.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $56.86 / $72.88	Professional		$56.86	$56.86	$72.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $18.12 / $22.77	Professional	26	$18.12	$18.12	$22.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $38.58 / $76.77	Professional		$31.17	$38.58	$76.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $24.84 / $38.65	Professional	26	$20.77	$24.84	$38.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $11.92 / $40.70	Professional	TC	$9.55	$11.92	$40.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $59.17 / $97.55	Professional		$37.17	$59.17	$97.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $29.34 / $48.31	Professional	26	$20.65	$29.34	$48.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.87 / $31.28 / $52.91	Professional	TC	$11.87	$31.28	$52.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $48.04 / $92.34	Facility	26	$48.04	$48.04	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $58.80 / $355.02	Professional		$31.12	$58.80	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.44 / $29.85 / $132.09	Professional	26	$19.44	$29.85	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $31.16 / $222.93	Professional	TC	$9.77	$31.16	$222.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $56.95 / $92.68	Professional		$33.29	$56.95	$92.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.03 / $27.64 / $48.81	Professional	26	$19.03	$27.64	$48.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.40 / $28.65 / $60.49	Professional	TC	$11.40	$28.65	$60.49