Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.18 / $21.94 / $43.28	Facility	26	$19.18	$21.94	$43.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $55.82 / $85.90	Professional		$37.79	$55.82	$85.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $21.35 / $34.47	Professional	26	$17.89	$21.35	$34.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $33.86 / $53.05	Professional	TC	$16.44	$33.86	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $67.19 / $70.51	Professional		$41.80	$67.19	$70.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $15.79 / $15.79	Professional	26	$15.79	$15.79	$15.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.93 / $80.63	Professional		$36.31	$43.93	$80.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $26.16 / $40.36	Professional	26	$19.48	$26.16	$40.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.52 / $18.19 / $41.87	Professional	TC	$14.52	$18.19	$41.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $60.17 / $100.95	Professional		$42.42	$60.17	$100.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $27.45 / $51.04	Professional	26	$17.70	$27.45	$51.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $31.88 / $51.63	Professional	TC	$17.92	$31.88	$51.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $41.24 / $98.31	Facility	26	$41.24	$41.24	$98.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $57.42 / $351.65	Professional		$35.40	$57.42	$351.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $26.80 / $131.37	Professional	26	$18.48	$26.80	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $30.13 / $214.27	Professional	TC	$15.28	$30.13	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $52.84 / $91.86	Professional		$34.27	$52.84	$91.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $24.41 / $45.52	Professional	26	$17.32	$24.41	$45.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.06 / $28.37 / $48.59	Professional	TC	$14.06	$28.37	$48.59