Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.94 / $30.71 / $37.18	Facility	26	$26.94	$30.71	$37.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $112.34 / $200.00	Professional		$98.62	$112.34	$200.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $28.64 / $57.29	Professional	26	$23.49	$28.64	$57.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.61 / $82.79 / $111.51	Professional	TC	$70.61	$82.79	$111.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $98.40 / $131.79	Professional		$88.16	$98.40	$131.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.05 / $29.68 / $34.25	Professional	26	$24.05	$29.68	$34.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $128.90 / $188.37	Professional		$102.01	$128.90	$188.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $40.57 / $58.59	Professional	26	$27.51	$40.57	$58.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.50 / $93.40 / $128.88	Professional	TC	$74.50	$93.40	$128.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $74.78 / $114.05	Professional		$24.26	$74.78	$114.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.20 / $28.20 / $28.20	Facility	26	$28.20	$28.20	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $132.97 / $243.24	Professional		$100.95	$132.97	$243.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $36.06 / $55.90	Professional	26	$25.88	$36.06	$55.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.72 / $95.33 / $170.55	Professional	TC	$74.72	$95.33	$170.55
United Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $117.62 / $204.20	Professional		$90.62	$117.62	$204.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.31 / $30.24 / $54.21	Professional	26	$23.31	$30.24	$54.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.68 / $82.92 / $141.03	Professional	TC	$64.68	$82.92	$141.03