Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.80 / $30.80 / $51.93	Facility	26	$30.80	$30.80	$51.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $102.05 / $127.34	Professional		$92.17	$102.05	$127.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.07 / $31.95 / $56.78	Professional	26	$29.07	$31.95	$56.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $70.09 / $87.86	Professional	TC	$63.10	$70.09	$87.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $80.58 / $80.58	Professional		$80.58	$80.58	$80.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $38.65 / $54.86	Professional	26	$24.58	$38.65	$54.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $105.94 / $146.19	Professional		$79.42	$105.94	$146.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $32.93 / $45.44	Professional	26	$27.18	$32.93	$45.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.24 / $73.02 / $100.76	Professional	TC	$52.24	$73.02	$100.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $79.61 / $127.00	Professional		$32.27	$79.61	$127.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $128.41 / $205.36	Professional		$96.94	$128.41	$205.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $41.65 / $64.45	Professional	26	$31.31	$41.65	$64.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $87.58 / $142.47	Professional	TC	$66.34	$87.58	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $114.48 / $196.57	Professional		$93.87	$114.48	$196.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $38.09 / $62.63	Professional	26	$31.70	$38.09	$62.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.98 / $74.70 / $128.82	Professional	TC	$64.98	$74.70	$128.82