Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $31.62 / $43.65	Facility	26	$28.84	$31.62	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $165.96	Professional		$34.67	$47.86	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $79.43	Professional	26	$21.88	$31.62	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $16.98 / $64.57	Professional	TC	$12.02	$16.98	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $37.15	Professional		$30.90	$30.90	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.44 / $34.67	Professional	26	$17.78	$23.44	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $134.90	Professional		$74.13	$83.18	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.48 / $57.54	Professional	26	$29.51	$35.48	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $47.86 / $85.11	Professional	TC	$45.71	$47.86	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $47.86	Professional		$16.60	$26.30	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $162.18	Professional		$57.54	$114.82	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $33.88 / $57.54	Professional	26	$27.54	$33.88	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $51.29 / $100.00	Professional	TC	$17.78	$51.29	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $120.23	Professional		$43.65	$72.44	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.18 / $46.77	Professional	26	$22.39	$28.18	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $43.65 / $81.28	Professional	TC	$20.42	$43.65	$81.28