Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.63 / $3.02	Facility	26	$2.00	$2.63	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $40.74	Professional		$12.88	$20.89	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $8.91	Professional	26	$2.00	$3.98	$8.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.14 / $28.84	Professional	TC	$10.96	$15.14	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.18	Professional		$11.75	$11.75	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $36.31	Professional		$19.50	$25.70	$36.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $6.46 / $10.96	Professional	26	$4.57	$6.46	$10.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $19.50 / $27.54	Professional	TC	$13.80	$19.50	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $30.90	Professional		$16.22	$19.95	$30.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $3.39 / $6.61	Professional	26	$2.75	$3.39	$6.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $16.60 / $24.55	Professional	TC	$13.49	$16.60	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $46.77	Professional		$15.85	$27.54	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $6.03 / $10.72	Professional	26	$3.09	$6.03	$10.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $21.38 / $38.02	Professional	TC	$12.88	$21.38	$38.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $100.00 / $100.00	Facility	26	$5.89	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $162.18	Professional		$19.05	$30.20	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $6.76 / $53.70	Professional	26	$3.98	$6.76	$53.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $23.44 / $128.82	Professional	TC	$14.79	$23.44	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $38.02	Professional		$16.98	$24.55	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.31 / $5.25 / $8.32	Professional	26	$3.31	$5.25	$8.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $19.05 / $29.51	Professional	TC	$13.80	$19.05	$29.51