Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.46 / $34.72 / $59.32	Facility	26	$30.46	$34.72	$59.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $113.03 / $187.38	Professional		$92.12	$113.03	$187.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $32.09 / $68.88	Professional	26	$29.75	$32.09	$68.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.62 / $74.51 / $125.21	Professional	TC	$60.62	$74.51	$125.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $106.04 / $142.02	Professional		$75.73	$106.04	$142.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $26.16 / $45.38	Professional	26	$24.14	$26.16	$45.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.82 / $80.54 / $227.50	Professional	TC	$43.82	$80.54	$227.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $123.73 / $159.79	Professional		$96.65	$123.73	$159.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $41.53 / $52.90	Professional	26	$31.65	$41.53	$52.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.34 / $71.81 / $105.42	Professional	TC	$59.34	$71.81	$105.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $74.09 / $119.44	Professional		$32.14	$74.09	$119.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $136.13 / $219.90	Professional		$97.00	$136.13	$219.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $43.56 / $71.23	Professional	26	$30.89	$43.56	$71.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.23 / $84.22 / $149.22	Professional	TC	$63.23	$84.22	$149.22
United Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $113.32 / $194.28	Professional		$92.80	$113.32	$194.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.73 / $35.89 / $62.73	Professional	26	$29.73	$35.89	$62.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.50 / $78.88 / $131.96	Professional	TC	$63.50	$78.88	$131.96