Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.54 / $32.65 / $40.65	Facility	26	$28.54	$32.65	$40.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $66.39 / $272.00	Professional		$58.11	$66.39	$272.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $33.43 / $63.09	Professional	26	$26.64	$33.43	$63.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $34.95 / $73.55	Professional	TC	$30.94	$34.95	$73.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $78.05 / $78.05	Professional		$54.25	$78.05	$78.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.57 / $30.28 / $44.54	Professional	26	$23.57	$30.28	$44.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $71.04 / $120.57	Professional		$56.91	$71.04	$120.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $36.29 / $56.89	Professional	26	$27.88	$36.29	$56.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.20 / $34.17 / $56.88	Professional	TC	$27.20	$34.17	$56.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $81.09 / $170.74	Professional		$58.74	$81.09	$170.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $37.72 / $62.24	Professional	26	$27.19	$37.72	$62.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.23 / $43.18 / $105.36	Professional	TC	$30.23	$43.18	$105.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $122.62 / $122.62	Facility	26	$64.69	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $80.17 / $717.26	Professional		$53.53	$80.17	$717.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $39.07 / $330.63	Professional	26	$25.61	$39.07	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $39.97 / $563.89	Professional	TC	$26.38	$39.97	$563.89
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $51.22 / $51.22	Professional	26	$38.86	$51.22	$51.22
United Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $72.88 / $137.47	Professional		$49.42	$72.88	$137.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $35.32 / $63.49	Professional	26	$24.37	$35.32	$63.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.37 / $37.02 / $62.18	Professional	TC	$26.37	$37.02	$62.18