Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.14 / $28.96 / $30.63	Facility	26	$24.14	$28.96	$30.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $98.83 / $174.95	Professional		$86.06	$98.83	$174.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $25.28 / $48.64	Professional	26	$24.14	$25.28	$48.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $71.87 / $92.58	Professional	TC	$61.40	$71.87	$92.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $79.23 / $96.26	Professional		$77.01	$79.23	$96.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.51 / $28.71	Professional	26	$18.62	$19.51	$28.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $88.80 / $133.19	Professional		$85.97	$88.80	$133.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $27.21 / $40.81	Professional	26	$27.21	$27.21	$40.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.77 / $58.77 / $297.50	Professional	TC	$58.77	$58.77	$297.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $83.18 / $122.73	Professional		$25.61	$83.18	$122.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $117.58 / $195.73	Professional		$93.01	$117.58	$195.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.77 / $33.09 / $49.71	Professional	26	$24.77	$33.09	$49.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.12 / $85.39 / $142.85	Professional	TC	$65.12	$85.39	$142.85
United Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $110.55 / $185.36	Professional		$86.48	$110.55	$185.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.93 / $28.65 / $49.71	Professional	26	$23.93	$28.65	$49.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.59 / $82.24 / $134.24	Professional	TC	$61.59	$82.24	$134.24