Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $25.12 / $26.30	Facility	26	$22.39	$25.12	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $100.00	Professional		$39.81	$60.26	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $42.66	Professional	26	$19.05	$22.91	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $37.15 / $61.66	Professional	TC	$18.20	$37.15	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $81.28	Professional		$47.86	$64.57	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.18 / $30.20	Professional	26	$25.12	$28.18	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $93.33	Professional		$35.48	$60.26	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $34.67 / $52.48	Professional	26	$19.50	$34.67	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $25.70 / $40.74	Professional	TC	$14.79	$25.70	$40.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.90 / $22.91 / $33.11	Facility	26	$4.90	$22.91	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $102.33	Professional		$46.77	$60.26	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $46.77	Professional	26	$20.89	$28.18	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $61.66	Professional	TC	$20.42	$31.62	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $72.44	Professional		$35.48	$48.98	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.99 / $35.48	Professional	26	$17.78	$23.99	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $39.81	Professional	TC	$15.85	$23.99	$39.81