Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $35.48 / $48.98	Facility	26	$28.18	$35.48	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $275.42	Professional		$74.13	$117.49	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $72.44	Professional	26	$25.70	$38.90	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $79.43 / $190.55	Professional	TC	$47.86	$79.43	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Professional		$75.86	$75.86	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $51.29	Professional	26	$20.42	$25.70	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $144.54 / $223.87	Professional		$51.29	$144.54	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $33.11 / $51.29	Professional	26	$30.20	$33.11	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $109.65 / $169.82	Professional	TC	$20.89	$109.65	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $83.18 / $125.89	Professional		$28.18	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $218.78	Professional		$87.10	$125.89	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $35.48 / $60.26	Professional	26	$23.44	$35.48	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $89.13 / $158.49	Professional	TC	$61.66	$89.13	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $181.97	Professional		$83.18	$107.15	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $29.51 / $50.12	Professional	26	$24.55	$29.51	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $77.62 / $128.82	Professional	TC	$58.88	$77.62	$128.82