Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $26.30 / $33.11	Facility	26	$22.39	$26.30	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $213.80	Professional		$70.79	$97.72	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.12 / $50.12	Professional	26	$16.98	$25.12	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $138.04	Professional	TC	$51.29	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $112.20	Professional		$57.54	$74.13	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $28.18 / $31.62	Professional	26	$15.14	$28.18	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $158.49	Professional		$72.44	$100.00	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $40.74	Professional	26	$19.95	$26.30	$40.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $114.82	Professional	TC	$52.48	$72.44	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $204.17	Professional		$79.43	$95.50	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.70 / $42.66	Professional	26	$16.98	$25.70	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $85.11 / $165.96	Professional	TC	$58.88	$85.11	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $151.36	Professional		$75.86	$91.20	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $36.31	Professional	26	$18.20	$21.88	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $70.79 / $114.82	Professional	TC	$56.23	$70.79	$114.82