Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.74 / $43.02 / $51.08	Facility	26	$37.74	$43.02	$51.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $122.64 / $236.41	Professional		$93.43	$122.64	$236.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $39.67 / $86.87	Professional	26	$36.61	$39.67	$86.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $64.31 / $111.36	Professional	TC	$56.82	$64.31	$111.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $104.96 / $147.97	Professional		$77.81	$104.96	$147.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.01 / $45.18 / $56.48	Professional	26	$30.01	$45.18	$56.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $55.17 / $68.31 / $91.50	Professional	TC	$55.17	$68.31	$91.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $81.20 / $125.86	Professional		$71.68	$81.20	$125.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $37.79 / $56.70	Professional	26	$30.30	$37.79	$56.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.79 / $43.40 / $69.00	Professional	TC	$40.79	$43.40	$69.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $70.15 / $124.29	Professional		$39.78	$70.15	$124.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.25 / $46.25 / $46.25	Facility	26	$46.25	$46.25	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $124.62 / $231.12	Professional		$91.65	$124.62	$231.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $51.89 / $90.14	Professional	26	$38.79	$51.89	$90.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.49 / $74.08 / $140.26	Professional	TC	$47.49	$74.08	$140.26
United Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $114.65 / $186.77	Professional		$92.10	$114.65	$186.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $44.80 / $76.73	Professional	26	$37.65	$44.80	$76.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.96 / $71.81 / $132.31	Professional	TC	$55.96	$71.81	$132.31