Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.49 / $26.77 / $45.89	Facility	26	$23.49	$26.77	$45.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $114.04 / $143.77	Professional		$85.30	$114.04	$143.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $24.44 / $47.00	Professional	26	$22.28	$24.44	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $90.55 / $113.43	Professional	TC	$59.92	$90.55	$113.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $23.28 / $34.92	Professional	26	$6.98	$23.28	$34.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $84.01 / $130.37	Professional		$74.20	$84.01	$130.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $34.70 / $47.88	Professional	26	$27.76	$34.70	$47.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.89 / $49.31 / $80.37	Professional	TC	$46.89	$49.31	$80.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $99.30 / $142.52	Professional		$24.44	$99.30	$142.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $121.87 / $253.88	Professional		$84.78	$121.87	$253.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $32.75 / $55.24	Professional	26	$23.96	$32.75	$55.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.84 / $87.78 / $198.27	Professional	TC	$55.84	$87.78	$198.27
United Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $124.80 / $210.19	Professional		$81.65	$124.80	$210.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $27.56 / $47.12	Professional	26	$23.94	$27.56	$47.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.48 / $99.08 / $166.88	Professional	TC	$55.48	$99.08	$166.88