Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $19.05	Facility	26	$14.13	$14.13	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $128.82	Professional		$34.67	$47.86	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $52.48	Professional	26	$12.88	$15.85	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.70 / $53.70	Professional	TC	$20.89	$25.70	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $47.86	Professional		$30.90	$36.31	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.13 / $19.05	Professional	26	$12.59	$14.13	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $66.07	Professional		$34.67	$42.66	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $18.62 / $29.51	Professional	26	$14.13	$18.62	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $24.55 / $38.90	Professional	TC	$19.95	$24.55	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $70.79	Professional		$41.69	$50.12	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $25.70	Professional	26	$15.14	$18.20	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $32.36 / $45.71	Professional	TC	$26.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $81.28	Professional		$37.15	$50.12	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.05 / $30.90	Professional	26	$14.45	$19.05	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $51.29	Professional	TC	$22.39	$30.20	$51.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $100.00 / $100.00	Facility	26	$33.88	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $346.74	Professional		$33.88	$52.48	$346.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $20.42 / $89.13	Professional	26	$13.49	$20.42	$89.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $31.62 / $199.53	Professional	TC	$20.89	$31.62	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $70.79	Professional		$31.62	$43.65	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.60 / $26.30	Professional	26	$12.30	$16.60	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $43.65	Professional	TC	$19.50	$26.92	$43.65