Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.70 / $33.70 / $52.35	Facility	26	$33.70	$33.70	$52.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $138.00 / $164.74	Professional		$128.72	$138.00	$164.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $34.52 / $52.49	Professional	26	$32.20	$34.52	$52.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.01 / $104.31 / $121.23	Professional	TC	$71.01	$104.31	$121.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.34 / $58.59	Professional	26	$23.44	$29.34	$58.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $77.45 / $109.99	Professional		$39.47	$77.45	$109.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $22.60 / $39.06	Professional	26	$22.60	$22.60	$39.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.20 / $54.86 / $73.90	Professional	TC	$15.20	$54.86	$73.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $126.70 / $189.53	Professional		$39.11	$126.70	$189.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $146.50 / $275.49	Professional		$60.04	$146.50	$275.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.35 / $41.10 / $101.72	Professional	26	$22.35	$41.10	$101.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.65 / $88.83 / $182.00	Professional	TC	$27.65	$88.83	$182.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $159.62 / $288.72	Professional		$101.79	$159.62	$288.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $45.83 / $80.90	Professional	26	$27.50	$45.83	$80.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.05 / $103.47 / $219.83	Professional	TC	$67.05	$103.47	$219.83