Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.62 / $3.63 / $5.42	Facility	26	$3.62	$3.63	$5.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.09 / $240.32	Professional		$24.78	$39.09	$240.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $4.46 / $16.00	Professional	26	$2.95	$4.46	$16.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.92 / $13.62 / $19.55	Professional	52	$10.92	$13.62	$19.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $31.51 / $95.26	Professional	TC	$21.14	$31.51	$95.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.92 / $4.30 / $5.49	Professional	26	$2.92	$4.30	$5.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $38.59 / $120.87	Professional		$24.59	$38.59	$120.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.33 / $4.67 / $7.22	Professional	26	$3.33	$4.67	$7.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $32.10 / $98.88	Professional	TC	$21.05	$32.10	$98.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $39.86 / $146.34	Professional		$22.96	$39.86	$146.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.15 / $4.84 / $8.53	Professional	26	$3.15	$4.84	$8.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $35.86 / $145.49	Professional	TC	$19.91	$35.86	$145.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $101.15 / $101.15	Facility	26	$39.94	$101.15	$101.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $53.37 / $724.06	Professional		$25.26	$53.37	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $6.19 / $289.41	Professional	26	$3.25	$6.19	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $46.37 / $660.75	Professional	TC	$22.01	$46.37	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $42.01 / $110.34	Professional		$24.54	$42.01	$110.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.22 / $5.22 / $8.58	Professional	26	$3.22	$5.22	$8.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $35.70 / $89.30	Professional	TC	$20.05	$35.70	$89.30