Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.56 / $39.56 / $45.98	Facility	26	$39.56	$39.56	$45.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $74.34 / $110.46	Professional		$64.55	$74.34	$110.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.94 / $43.43 / $54.52	Professional	26	$37.94	$43.43	$54.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $35.34 / $45.92	Professional	TC	$20.14	$35.34	$45.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $96.83	Professional		$96.83	$96.83	$96.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $79.34 / $125.76	Professional		$56.73	$79.34	$125.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.68 / $53.37 / $84.59	Professional	26	$39.68	$53.37	$84.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $25.97 / $41.17	Professional	TC	$17.61	$25.97	$41.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $41.35 / $77.45	Professional		$33.04	$41.35	$77.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $90.21 / $142.19	Professional		$72.78	$90.21	$142.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.20 / $55.43 / $85.84	Professional	26	$38.20	$55.43	$85.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $33.28 / $60.81	Professional	TC	$24.40	$33.28	$60.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $67.48 / $104.20	Professional		$53.93	$67.48	$104.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $43.72 / $66.80	Professional	26	$33.08	$43.72	$66.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $25.76 / $39.47	Professional	TC	$17.85	$25.76	$39.47