Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $8.46 / $12.62	Facility	26	$8.41	$8.46	$12.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $34.50 / $160.00	Professional		$26.64	$34.50	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $10.61 / $32.00	Professional	26	$6.82	$10.61	$32.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $22.05 / $71.40	Professional	TC	$18.02	$22.05	$71.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.06 / $11.07	Professional	26	$7.85	$9.06	$11.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $36.29 / $69.17	Professional		$26.00	$36.29	$69.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.38 / $16.87	Professional	26	$7.59	$10.38	$16.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $25.05 / $52.32	Professional	TC	$18.53	$25.05	$52.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $39.76 / $73.42	Professional		$24.74	$39.76	$73.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $10.74 / $18.47	Professional	26	$7.22	$10.74	$18.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $28.66 / $61.12	Professional	TC	$17.63	$28.66	$61.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.32 / $103.69 / $103.69	Facility	26	$19.32	$103.69	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $51.08 / $644.00	Professional		$27.07	$51.08	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $13.45 / $228.88	Professional	26	$7.58	$13.45	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $37.29 / $542.00	Professional	TC	$19.48	$37.29	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $43.44 / $65.54	Professional		$26.26	$43.44	$65.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $11.40 / $18.12	Professional	26	$7.35	$11.40	$18.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $28.67 / $47.61	Professional	TC	$18.52	$28.67	$47.61