Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $58.88 / $70.79	Facility	26	$52.48	$58.88	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $158.49	Professional		$64.57	$89.13	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $128.82	Professional	26	$38.90	$48.98	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $40.74 / $66.07	Professional	TC	$22.91	$40.74	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $112.20	Professional		$66.07	$91.20	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $50.12 / $56.23	Professional	26	$35.48	$50.12	$56.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $154.88	Professional		$60.26	$100.00	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $67.61 / $102.33	Professional	26	$38.90	$67.61	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $32.36 / $50.12	Professional	TC	$18.62	$32.36	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $91.20	Professional		$36.31	$46.77	$91.20
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 $74.13 / $93.33 / $165.96	Professional		$74.13	$93.33	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $95.50	Professional	26	$41.69	$56.23	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $66.07	Professional	TC	$25.12	$37.15	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $109.65	Professional		$60.26	$75.86	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $70.79	Professional	26	$36.31	$47.86	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $42.66	Professional	TC	$19.05	$28.18	$42.66