Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.81 / $60.81 / $71.23	Facility	26	$60.81	$60.81	$71.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $101.04 / $161.24	Professional		$79.79	$101.04	$161.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.90 / $60.81 / $83.03	Professional	26	$54.90	$60.81	$83.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $42.67 / $54.25	Professional	TC	$24.01	$42.67	$54.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $115.08 / $141.41	Professional		$109.32	$115.08	$141.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $71.48 / $76.88	Professional	26	$64.06	$71.48	$76.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $103.82 / $164.56	Professional		$72.52	$103.82	$164.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.99 / $72.54 / $114.98	Professional	26	$51.99	$72.54	$114.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $31.28 / $49.57	Professional	TC	$21.29	$31.28	$49.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $58.94 / $112.61	Professional		$39.46	$58.94	$112.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $116.66 / $198.39	Professional		$95.13	$116.66	$198.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.64 / $77.17 / $121.71	Professional	26	$57.64	$77.17	$121.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $40.04 / $69.12	Professional	TC	$29.39	$40.04	$69.12
United Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $90.93 / $143.06	Professional		$74.86	$90.93	$143.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.76 / $60.26 / $94.66	Professional	26	$48.76	$60.26	$94.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $30.58 / $46.43	Professional	TC	$21.69	$30.58	$46.43