Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.38 / $44.89 / $59.32	Facility	26	$39.38	$44.89	$59.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $127.55 / $160.66	Professional		$109.14	$127.55	$160.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $40.15 / $80.00	Professional	26	$31.19	$40.15	$80.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.97 / $88.29 / $110.46	Professional	TC	$75.97	$88.29	$110.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $138.37 / $138.37	Professional		$101.57	$138.37	$138.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $41.47 / $58.92	Professional	26	$31.43	$41.47	$58.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $110.04 / $170.56	Professional		$97.61	$110.04	$170.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $45.10 / $67.13	Professional	26	$36.08	$45.10	$67.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.89 / $64.94 / $103.25	Professional	TC	$61.89	$64.94	$103.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $100.36 / $160.60	Professional		$41.24	$100.36	$160.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $48.64 / $48.64	Facility	26	$48.64	$48.64	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $142.76 / $278.98	Professional		$108.08	$142.76	$278.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $48.89 / $78.98	Professional	26	$35.58	$48.89	$78.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.15 / $93.63 / $200.00	Professional	TC	$70.15	$93.63	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $135.38 / $232.20	Professional		$105.42	$135.38	$232.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.77 / $44.81 / $73.90	Professional	26	$33.77	$44.81	$73.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.34 / $94.56 / $183.12	Professional	TC	$75.34	$94.56	$183.12