Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.19 / $38.19 / $58.86	Facility	26	$38.19	$38.19	$58.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $80.37 / $98.77	Professional		$70.55	$80.37	$98.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.09 / $38.33 / $48.34	Professional	26	$36.09	$38.33	$48.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.94 / $40.57 / $57.10	Professional	TC	$32.94	$40.57	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $56.76 / $58.12	Professional		$56.76	$56.76	$58.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $37.15 / $62.02	Professional	26	$27.80	$37.15	$62.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $77.84 / $138.65	Professional		$44.42	$77.84	$138.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $36.82 / $62.33	Professional	26	$19.12	$36.82	$62.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.30 / $41.03 / $68.59	Professional	TC	$25.30	$41.03	$68.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $47.02 / $93.76	Professional		$35.77	$47.02	$93.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $43.19	Facility	26	$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $139.58 / $279.73	Professional		$71.63	$139.58	$279.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.70 / $49.32 / $82.72	Professional	26	$35.70	$49.32	$82.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $68.69 / $190.48	Professional	TC	$35.64	$68.69	$190.48
United Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $92.54 / $199.06	Professional		$65.55	$92.54	$199.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $40.92 / $73.72	Professional	26	$34.65	$40.92	$73.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $45.50 / $159.88	Professional	TC	$28.04	$45.50	$159.88