Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.26 / $18.70 / $29.32	Facility	26	$11.26	$18.70	$29.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $12.47 / $26.13	Professional	26	$9.39	$12.47	$26.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $17.95 / $33.03	Professional	TC	$15.02	$17.95	$33.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.68 / $27.25 / $27.25	Professional	26	$21.68	$27.25	$27.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $38.40 / $38.40	Professional	TC	$38.40	$38.40	$38.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.86 / $24.45 / $42.91	Professional	26	$19.86	$24.45	$42.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.41 / $34.97 / $62.06	Professional	TC	$27.41	$34.97	$62.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.39 / $34.22 / $60.62	Professional	26	$24.39	$34.22	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.84 / $48.03 / $83.74	Professional	TC	$34.84	$48.03	$83.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $57.75 / $110.49	Facility	26	$57.75	$57.75	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $149.40 / $149.40	Professional	26	$27.44	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $183.70 / $183.70	Professional	TC	$36.65	$183.70	$183.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $23.61 / $31.83	Professional	26	$19.98	$23.61	$31.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.55 / $34.61 / $47.09	Professional	TC	$30.55	$34.61	$47.09