Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.14 / $45.14 / $52.56	Facility	26	$45.14	$45.14	$52.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $82.01 / $128.88	Professional		$63.72	$82.01	$128.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $45.14 / $57.84	Professional	26	$40.76	$45.14	$57.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $39.07 / $49.67	Professional	TC	$20.85	$39.07	$49.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $107.49 / $114.66	Professional		$88.64	$107.49	$114.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $56.72 / $56.72	Professional	26	$56.72	$56.72	$56.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $85.18 / $135.01	Professional		$57.00	$85.18	$135.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.58 / $57.67 / $91.40	Professional	26	$38.58	$57.67	$91.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $27.50 / $43.59	Professional	TC	$18.80	$27.50	$43.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $47.26 / $89.58	Professional		$35.54	$47.26	$89.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $95.43 / $158.24	Professional		$75.30	$95.43	$158.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $59.39 / $89.79	Professional	26	$43.52	$59.39	$89.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.85 / $34.97 / $63.24	Professional	TC	$25.85	$34.97	$63.24
United Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $74.39 / $110.37	Professional		$57.23	$74.39	$110.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $45.52 / $72.92	Professional	26	$36.54	$45.52	$72.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $27.93 / $42.46	Professional	TC	$19.09	$27.93	$42.46