Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.66 / $27.76 / $39.17	Facility	26	$26.66	$27.76	$39.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $90.49 / $113.27	Professional		$76.45	$90.49	$113.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $27.48 / $54.15	Professional	26	$20.44	$27.48	$54.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.12 / $63.12 / $78.97	Professional	TC	$52.12	$63.12	$78.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $126.20 / $126.20	Professional		$71.53	$126.20	$126.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.05 / $22.47 / $39.65	Professional	26	$21.05	$22.47	$39.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $76.84 / $119.10	Professional		$67.93	$76.84	$119.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $30.10 / $45.44	Professional	26	$24.08	$30.10	$45.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.33 / $46.74 / $74.31	Professional	TC	$44.33	$46.74	$74.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $72.00 / $112.89	Professional		$27.76	$72.00	$112.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $103.72 / $203.07	Professional		$75.67	$103.72	$203.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $33.10 / $53.47	Professional	26	$24.10	$33.10	$53.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.65 / $67.92 / $142.97	Professional	TC	$50.65	$67.92	$142.97
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $97.10 / $162.68	Professional		$74.20	$97.10	$162.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.65 / $30.54 / $52.16	Professional	26	$22.65	$30.54	$52.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.37 / $66.98 / $115.71	Professional	TC	$52.37	$66.98	$115.71