Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $42.66 / $58.88	Facility	26	$33.11	$42.66	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $354.81	Professional		$81.28	$154.88	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $63.10 / $165.96	Professional	26	$32.36	$63.10	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $138.04	Professional	TC	$46.77	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $125.89	Professional		$57.54	$77.62	$125.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $51.29	Professional	26	$26.92	$34.67	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $79.43	Professional	TC	$42.66	$52.48	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $158.49	Professional		$91.20	$95.50	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $41.69 / $67.61	Professional	26	$39.81	$41.69	$67.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $54.95 / $93.33	Professional	TC	$52.48	$54.95	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $107.15	Professional		$36.31	$60.26	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $199.53	Professional		$77.62	$120.23	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $46.77 / $75.86	Professional	26	$30.20	$46.77	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $72.44 / $120.23	Professional	TC	$51.29	$72.44	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $162.18	Professional		$81.28	$102.33	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.90 / $61.66	Professional	26	$31.62	$38.90	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $61.66 / $95.50	Professional	TC	$50.12	$61.66	$95.50