Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.87 / $20.92 / $31.30	Facility	26	$20.87	$20.92	$31.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $72.36 / $289.88	Professional		$51.89	$72.36	$289.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $27.07 / $79.41	Professional	26	$17.44	$27.07	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $42.63 / $136.19	Professional	TC	$33.18	$42.63	$136.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $37.45 / $37.45	Professional		$37.45	$37.45	$37.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $21.81 / $24.85	Professional	26	$19.42	$21.81	$24.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $72.66 / $144.00	Professional		$51.99	$72.66	$144.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $24.79 / $41.71	Professional	26	$18.78	$24.79	$41.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.76 / $45.11 / $99.46	Professional	TC	$33.76	$45.11	$99.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $80.31 / $146.41	Professional		$50.27	$80.31	$146.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $26.43 / $44.76	Professional	26	$17.97	$26.43	$44.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $55.04 / $103.79	Professional	TC	$32.65	$55.04	$103.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $128.36 / $128.36	Facility	26	$41.47	$128.36	$128.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $99.78 / $604.11	Professional		$54.50	$99.78	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $33.04 / $456.30	Professional	26	$18.77	$33.04	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $68.42 / $388.70	Professional	TC	$35.72	$68.42	$388.70
United Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $89.24 / $132.44	Professional		$54.14	$89.24	$132.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $28.23 / $44.80	Professional	26	$18.57	$28.23	$44.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.29 / $56.71 / $90.68	Professional	TC	$33.29	$56.71	$90.68