Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $11.22 / $15.49	Facility	26	$8.71	$11.22	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $218.78	Professional		$51.29	$67.61	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $33.88	Professional	26	$7.94	$10.00	$33.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	52	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $112.20	Professional	TC	$42.66	$52.48	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $85.11	Professional		$46.77	$54.95	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.47 / $13.80	Professional	26	$8.13	$10.47	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $91.20	Professional		$43.65	$56.23	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $14.45	Professional	26	$7.24	$9.55	$14.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $75.86	Professional	TC	$36.31	$45.71	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $104.71	Professional		$61.66	$74.13	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $16.22	Professional	26	$9.77	$11.75	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $63.10 / $89.13	Professional	TC	$52.48	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $114.82	Professional		$53.70	$72.44	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.75 / $18.62	Professional	26	$8.71	$11.75	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $60.26 / $97.72	Professional	TC	$44.67	$60.26	$97.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $79.43 / $79.43	Facility	26	$20.42	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $371.54	Professional		$50.12	$69.18	$371.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.75 / $54.95	Professional	26	$8.13	$11.75	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $58.88 / $316.23	Professional	TC	$41.69	$58.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $100.00	Professional		$46.77	$63.10	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $16.22	Professional	26	$7.59	$10.23	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $52.48 / $85.11	Professional	TC	$39.81	$52.48	$85.11