Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.44 / $24.44 / $40.95	Facility	26	$24.44	$24.44	$40.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $92.50 / $113.53	Professional		$82.00	$92.50	$113.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $24.68 / $40.22	Professional	26	$23.03	$24.68	$40.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.85 / $67.93 / $82.00	Professional	TC	$57.85	$67.93	$82.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $73.78 / $73.78	Professional		$73.78	$73.78	$73.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $19.38 / $34.57	Professional	26	$19.38	$19.38	$34.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $90.77 / $136.15	Professional		$72.61	$90.77	$136.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $35.10 / $49.02	Professional	26	$21.46	$35.10	$49.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.85 / $55.67 / $84.53	Professional	TC	$50.85	$55.67	$84.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $71.53 / $120.50	Professional		$25.74	$71.53	$120.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $113.07 / $195.12	Professional		$85.86	$113.07	$195.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.93 / $31.80 / $56.37	Professional	26	$24.93	$31.80	$56.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.50 / $77.94 / $142.04	Professional	TC	$60.50	$77.94	$142.04
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $99.30 / $169.29	Professional		$81.84	$99.30	$169.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $28.56 / $49.02	Professional	26	$24.23	$28.56	$49.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.61 / $71.15 / $117.61	Professional	TC	$56.61	$71.15	$117.61