Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $35.48 / $48.98	Facility	26	$26.92	$35.48	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $275.42	Professional		$83.18	$109.65	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $45.71 / $177.83	Professional	26	$25.12	$45.71	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $79.43 / $128.82	Professional	TC	$63.10	$79.43	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.50 / $23.44	Professional	26	$15.49	$19.50	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $87.10	Professional		$45.71	$53.70	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.79 / $26.30	Professional	26	$13.18	$14.79	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.90 / $61.66	Professional	TC	$32.36	$38.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $194.98	Professional		$43.65	$95.50	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $26.30 / $53.70	Professional	26	$12.59	$26.30	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $69.18 / $154.88	Professional	TC	$30.90	$69.18	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $204.17	Professional		$77.62	$104.71	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $54.95	Professional	26	$20.89	$28.18	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $77.62 / $147.91	Professional	TC	$56.23	$77.62	$147.91