Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.95 / $40.74 / $43.35	Facility	26	$33.95	$40.74	$43.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $91.23 / $160.00	Professional		$74.08	$91.23	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $35.35 / $76.75	Professional	26	$33.34	$35.35	$76.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $49.35 / $78.43	Professional	TC	$40.17	$49.35	$78.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $83.02 / $117.03	Professional		$61.87	$83.02	$117.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $38.95 / $50.81	Professional	26	$26.98	$38.95	$50.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $55.19 / $66.23	Professional	TC	$35.32	$55.19	$66.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $95.96 / $148.72	Professional		$78.02	$95.96	$148.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $41.00 / $59.42	Professional	26	$32.79	$41.00	$59.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.15 / $54.96 / $87.93	Professional	TC	$44.15	$54.96	$87.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $52.98 / $98.83	Professional		$35.99	$52.98	$98.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $116.01 / $185.30	Professional		$80.29	$116.01	$185.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $48.38 / $80.44	Professional	26	$35.28	$48.38	$80.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $68.90 / $106.10	Professional	TC	$48.18	$68.90	$106.10
United Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $93.58 / $155.54	Professional		$75.16	$93.58	$155.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $40.75 / $69.05	Professional	26	$33.44	$40.75	$69.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.90 / $52.52 / $88.11	Professional	TC	$41.90	$52.52	$88.11