Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.41 / $30.49 / $43.08	Facility	26	$25.41	$30.49	$43.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $68.01 / $123.92	Professional		$50.78	$68.01	$123.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $26.52 / $53.55	Professional	26	$24.54	$26.52	$53.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $34.33 / $85.82	Professional	TC	$26.01	$34.33	$85.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $48.15 / $82.77	Professional		$43.40	$48.15	$82.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $27.20 / $39.14	Professional	26	$20.02	$27.20	$39.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $32.13 / $45.74	Professional	TC	$25.08	$32.13	$45.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $94.50 / $134.19	Professional		$78.33	$94.50	$134.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $37.79 / $53.06	Professional	26	$30.24	$37.79	$53.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.99 / $56.70 / $87.88	Professional	TC	$46.99	$56.70	$87.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $36.15 / $70.17	Professional		$26.76	$36.15	$70.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $99.32 / $174.12	Professional		$57.23	$99.32	$174.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.54 / $36.36 / $60.55	Professional	26	$26.54	$36.36	$60.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.93 / $61.27 / $124.51	Professional	TC	$29.93	$61.27	$124.51
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $81.48 / $146.04	Professional		$52.94	$81.48	$146.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $29.71 / $51.68	Professional	26	$25.15	$29.71	$51.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $38.17 / $85.95	Professional	TC	$25.96	$38.17	$85.95