Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.60 / $27.60 / $32.11	Facility	26	$27.60	$27.60	$32.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $61.54 / $78.19	Professional		$41.56	$61.54	$78.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $27.60 / $35.74	Professional	26	$24.90	$27.60	$35.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $34.19 / $44.67	Professional	TC	$16.67	$34.19	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $49.64 / $67.64	Professional		$49.64	$49.64	$67.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $57.25 / $90.74	Professional		$38.57	$57.25	$90.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $36.04 / $57.13	Professional	26	$23.33	$36.04	$57.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $21.22 / $33.70	Professional	TC	$14.68	$21.22	$33.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $34.65 / $64.06	Professional		$24.26	$34.65	$64.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Facility	26	$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $67.02 / $110.73	Professional		$52.58	$67.02	$110.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $36.22 / $54.86	Professional	26	$26.56	$36.22	$54.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $29.09 / $56.63	Professional	TC	$19.94	$29.09	$56.63
United Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $51.19 / $79.73	Professional		$40.33	$51.19	$79.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $28.96 / $45.18	Professional	26	$22.30	$28.96	$45.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.55 / $23.88 / $39.74	Professional	TC	$14.55	$23.88	$39.74