Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $32.36 / $51.29	Facility	26	$25.70	$32.36	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $199.53	Professional		$85.11	$117.49	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $69.18	Professional	26	$21.88	$25.70	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $151.36	Professional	TC	$66.07	$91.20	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $181.97	Professional		$93.33	$104.71	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $56.23	Professional	26	$28.18	$35.48	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $69.18 / $134.90	Professional	TC	$64.57	$69.18	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $154.88 / $245.47	Professional		$38.02	$154.88	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $60.26	Professional	26	$23.99	$36.31	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $204.17	Professional	TC	$69.18	$107.15	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $199.53	Professional		$95.50	$120.23	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $50.12	Professional	26	$25.70	$30.20	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $91.20 / $144.54	Professional	TC	$67.61	$91.20	$144.54