Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.67 / $26.67 / $48.80	Facility	26	$26.67	$26.67	$48.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $104.52 / $116.87	Professional		$93.98	$104.52	$116.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $26.67 / $31.75	Professional	26	$24.89	$26.67	$31.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $77.84 / $88.66	Professional	TC	$69.06	$77.84	$88.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $19.57 / $46.28	Professional	26	$18.51	$19.57	$46.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $45.43 / $87.17	Professional		$45.43	$45.43	$87.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $13.21 / $24.91	Professional	26	$13.21	$13.21	$24.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $32.22 / $61.08	Professional	TC	$32.22	$32.22	$61.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $102.40 / $151.97	Professional		$32.39	$102.40	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $68.70 / $186.23	Professional		$43.73	$68.70	$186.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $19.75 / $53.39	Professional	26	$13.09	$19.75	$53.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.12 / $48.94 / $136.27	Professional	TC	$31.12	$48.94	$136.27
United Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $105.29 / $204.06	Professional		$77.80	$105.29	$204.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $28.80 / $54.57	Professional	26	$20.96	$28.80	$54.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.84 / $86.05 / $147.35	Professional	TC	$56.84	$86.05	$147.35