Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.92 / $16.92 / $20.30	Facility	26	$16.92	$16.92	$20.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $72.51 / $127.89	Professional		$60.84	$72.51	$127.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $20.30 / $57.22	Professional	26	$16.92	$20.30	$57.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.92 / $52.26 / $95.34	Professional	TC	$43.92	$52.26	$95.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $99.45	Professional		$81.20	$81.20	$99.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $25.87 / $28.94	Professional	26	$19.72	$25.87	$28.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $78.09 / $121.51	Professional		$68.93	$78.09	$121.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $22.43 / $33.47	Professional	26	$20.22	$22.43	$33.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.57 / $55.50 / $86.87	Professional	TC	$48.57	$55.50	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $69.20	Professional		$67.55	$67.55	$69.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.68	Professional	26	$18.45	$18.45	$18.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $50.53	Professional	TC	$49.10	$49.10	$50.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $104.06 / $104.06	Facility	26	$39.24	$104.06	$104.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $104.24 / $468.55	Professional		$74.06	$104.24	$468.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $24.27 / $126.27	Professional	26	$19.34	$24.27	$126.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.48 / $75.27 / $342.28	Professional	TC	$53.48	$75.27	$342.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $114.37 / $114.37	Professional		$114.37	$114.37	$114.37
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $33.28 / $33.28	Professional	26	$33.28	$33.28	$33.28
United Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $90.38 / $169.64	Professional		$74.51	$90.38	$169.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $24.27 / $46.71	Professional	26	$19.34	$24.27	$46.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.91 / $70.42 / $141.88	Professional	TC	$52.91	$70.42	$141.88