Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.71 / $14.19 / $17.55	Facility	26	$11.71	$14.19	$17.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $45.47 / $96.39	Professional		$40.79	$45.47	$96.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.85 / $27.64	Professional	26	$11.24	$12.85	$27.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.08 / $32.89 / $62.60	Professional	TC	$29.08	$32.89	$62.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $38.22 / $65.42	Professional		$35.28	$38.22	$65.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $13.14 / $19.25	Professional	26	$10.30	$13.14	$19.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $43.22 / $70.29	Professional		$35.06	$43.22	$70.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $12.91 / $20.71	Professional	26	$10.83	$12.91	$20.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $30.30 / $50.95	Professional	TC	$24.23	$30.30	$50.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $56.30 / $92.37	Professional		$41.98	$56.30	$92.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $16.45 / $26.56	Professional	26	$11.80	$16.45	$26.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.08 / $40.77 / $65.52	Professional	TC	$30.08	$40.77	$65.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $27.92 / $80.00	Facility	26	$27.92	$27.92	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $54.85 / $277.95	Professional		$39.43	$54.85	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $16.22 / $74.58	Professional	26	$11.07	$16.22	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.72 / $39.11 / $203.39	Professional	TC	$27.72	$39.11	$203.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.14 / $22.14 / $22.14	Professional	26	$22.14	$22.14	$22.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $53.71 / $97.73	Professional		$37.72	$53.71	$97.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $15.35 / $25.85	Professional	26	$10.74	$15.35	$25.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.73 / $37.22 / $63.61	Professional	TC	$25.73	$37.22	$63.61