Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.23 / $16.23 / $23.43	Facility	26	$16.23	$16.23	$23.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $96.26 / $125.13	Professional		$80.72	$96.26	$125.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $17.53 / $34.00	Professional	26	$16.03	$17.53	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.86 / $78.73 / $102.34	Professional	TC	$63.86	$78.73	$102.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $72.06 / $72.06	Professional		$72.06	$72.06	$72.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $17.55 / $26.40	Professional	26	$13.20	$17.55	$26.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $82.18 / $127.37	Professional		$71.59	$82.18	$127.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $18.73 / $29.56	Professional	26	$15.39	$18.73	$29.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.24 / $63.45 / $98.34	Professional	TC	$54.24	$63.45	$98.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $81.12 / $113.15	Professional		$17.32	$81.12	$113.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.50 / $20.50 / $20.50	Facility	26	$20.50	$20.50	$20.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $108.71 / $206.74	Professional		$80.18	$108.71	$206.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $22.46 / $38.86	Professional	26	$17.16	$22.46	$38.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.35 / $86.24 / $168.65	Professional	TC	$63.35	$86.24	$168.65
United Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $98.84 / $169.47	Professional		$77.88	$98.84	$169.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $19.78 / $32.81	Professional	26	$17.14	$19.78	$32.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.71 / $78.67 / $133.74	Professional	TC	$60.71	$78.67	$133.74