Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $43.65 / $53.70	Facility	26	$34.67	$43.65	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $891.25	Professional		$58.88	$107.15	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $162.18 / $691.83	Professional	26	$33.11	$162.18	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $64.57	Professional	TC	$26.92	$34.67	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $91.20	Professional		$50.12	$51.29	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $45.71	Professional	26	$25.12	$33.11	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $151.36	Professional		$69.18	$85.11	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $66.07	Professional	26	$33.88	$40.74	$66.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $79.43	Professional	TC	$36.31	$43.65	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $79.43	Professional		$32.36	$40.74	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $169.82	Professional		$72.44	$114.82	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $43.65 / $72.44	Professional	26	$33.11	$43.65	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $52.48 / $81.28	Professional	TC	$37.15	$52.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $120.23	Professional		$60.26	$75.86	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.48 / $57.54	Professional	26	$29.51	$35.48	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $69.18	Professional	TC	$30.20	$39.81	$69.18