Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $21.88 / $27.54	Facility	26	$16.22	$21.88	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $131.83	Professional		$41.69	$52.48	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $44.67	Professional	26	$12.88	$22.39	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $70.79	Professional	TC	$28.18	$38.90	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $100.00	Professional		$33.88	$33.88	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.85 / $28.84	Professional	26	$11.75	$15.85	$28.84
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $38.02 / $56.23	Professional	TC	$34.67	$38.02	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $87.10	Professional		$47.86	$52.48	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.89 / $33.11	Professional	26	$16.22	$20.89	$33.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $32.36 / $57.54	Professional	TC	$30.90	$32.36	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $109.65	Professional		$47.86	$74.13	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.42 / $33.88	Professional	26	$13.18	$20.42	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $45.71 / $85.11	Professional	TC	$30.20	$45.71	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $87.10	Professional		$44.67	$53.70	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.60 / $28.18	Professional	26	$14.13	$16.60	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $60.26	Professional	TC	$29.51	$37.15	$60.26