Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $28.84 / $38.02	Facility	26	$19.50	$28.84	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $104.71	Professional		$52.48	$61.66	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $48.98	Professional	26	$16.98	$19.95	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $40.74 / $67.61	Professional	TC	$33.11	$40.74	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.95	Professional	26	$19.50	$19.50	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $107.15	Professional		$57.54	$66.07	$107.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.51 / $45.71	Professional	26	$23.44	$29.51	$45.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $37.15 / $60.26	Professional	TC	$33.88	$37.15	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $131.83	Professional		$57.54	$81.28	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $26.30 / $45.71	Professional	26	$17.78	$26.30	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $52.48 / $89.13	Professional	TC	$36.31	$52.48	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $112.20	Professional		$56.23	$69.18	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.44 / $38.90	Professional	26	$19.50	$23.44	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $72.44	Professional	TC	$36.31	$45.71	$72.44