Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $70.79 / $70.79	Facility	26	$52.48	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $158.49	Professional		$70.79	$89.13	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $87.10	Professional	26	$38.90	$47.86	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $44.67 / $74.13	Professional	TC	$25.70	$44.67	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $169.82	Professional		$64.57	$109.65	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $72.44 / $109.65	Professional	26	$40.74	$72.44	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $35.48 / $56.23	Professional	TC	$21.38	$35.48	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $177.83	Professional		$79.43	$102.33	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $95.50	Professional	26	$41.69	$58.88	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $72.44	Professional	TC	$28.84	$40.74	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $117.49	Professional		$61.66	$79.43	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $74.13	Professional	26	$37.15	$48.98	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $47.86	Professional	TC	$21.88	$30.90	$47.86