Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.59 / $25.59 / $37.03	Facility	26	$25.59	$25.59	$37.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $117.33 / $147.88	Professional		$90.73	$117.33	$147.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $25.85 / $32.97	Professional	26	$24.19	$25.85	$32.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.56 / $91.73 / $110.90	Professional	TC	$70.56	$91.73	$110.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $26.84 / $26.84	Professional	26	$26.84	$26.84	$26.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $104.84 / $167.74	Professional		$92.27	$104.84	$167.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $35.10 / $49.84	Professional	26	$28.08	$35.10	$49.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.15 / $69.73 / $116.40	Professional	TC	$64.15	$69.73	$116.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $103.97 / $151.47	Professional		$27.15	$103.97	$151.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Facility	26	$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $137.19 / $251.33	Professional		$96.17	$137.19	$251.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $35.43 / $59.29	Professional	26	$25.38	$35.43	$59.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.73 / $104.61 / $200.00	Professional	TC	$69.73	$104.61	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $121.47 / $201.92	Professional		$95.31	$121.47	$201.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $31.09 / $52.05	Professional	26	$25.78	$31.09	$52.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.53 / $90.51 / $151.86	Professional	TC	$67.53	$90.51	$151.86