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 $69.54 / $77.18 / $95.85	Professional		$69.54	$77.18	$95.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.07 / $31.95 / $49.81	Professional	26	$29.07	$31.95	$49.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $45.22 / $56.38	Professional	TC	$40.47	$45.22	$56.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $24.58 / $47.30	Professional	26	$18.48	$24.58	$47.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $80.03 / $110.44	Professional		$60.75	$80.03	$110.44
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 $33.58 / $47.11 / $65.01	Professional	TC	$33.58	$47.11	$65.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $53.88 / $99.67	Professional		$32.65	$53.88	$99.67
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 $72.75 / $96.94 / $154.85	Professional		$72.75	$96.94	$154.85
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 $42.77 / $56.10 / $91.75	Professional	TC	$42.77	$56.10	$91.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $86.67 / $146.50	Professional		$73.83	$86.67	$146.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.73 / $37.69 / $62.63	Professional	26	$30.73	$37.69	$62.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.09 / $48.04 / $84.13	Professional	TC	$41.09	$48.04	$84.13