Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.97 / $33.97 / $40.02	Facility	26	$33.97	$33.97	$40.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $67.88 / $92.95	Professional		$50.29	$67.88	$92.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.65 / $33.97 / $41.14	Professional	26	$30.65	$33.97	$41.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $35.46 / $46.34	Professional	TC	$18.03	$35.46	$46.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.20 / $90.84	Professional		$77.20	$77.20	$90.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $40.17 / $40.17	Professional	26	$40.17	$40.17	$40.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $66.55 / $105.48	Professional		$44.70	$66.55	$105.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.61 / $44.07 / $69.84	Professional	26	$29.61	$44.07	$69.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $24.73 / $35.70	Professional	TC	$15.51	$24.73	$35.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $39.71 / $75.70	Professional		$29.70	$39.71	$75.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.10 / $35.10 / $35.10	Facility	26	$35.10	$35.10	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $76.45 / $127.90	Professional		$60.96	$76.45	$127.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $44.59 / $68.38	Professional	26	$32.61	$44.59	$68.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $31.16 / $58.83	Professional	TC	$21.12	$31.16	$58.83
United Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $59.92 / $100.77	Professional		$47.62	$59.92	$100.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.53 / $34.71 / $54.60	Professional	26	$27.53	$34.71	$54.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $24.58 / $39.40	Professional	TC	$16.11	$24.58	$39.40