Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.27 / $22.70 / $23.12	Facility	26	$19.27	$22.70	$23.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $61.71 / $106.00	Professional		$50.01	$61.71	$106.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $20.51 / $52.54	Professional	26	$17.64	$20.51	$52.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.93 / $38.61 / $56.53	Professional	TC	$31.93	$38.61	$56.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $65.39 / $68.12	Professional		$39.54	$65.39	$68.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $20.41 / $24.50	Professional	26	$17.37	$20.41	$24.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $107.80 / $153.90	Professional		$46.81	$107.80	$153.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $29.26 / $42.25	Professional	26	$19.93	$29.26	$42.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.88 / $80.09 / $111.64	Professional	TC	$26.88	$80.09	$111.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $34.90 / $58.98	Professional		$17.35	$34.90	$58.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $94.53 / $161.94	Professional		$52.21	$94.53	$161.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $25.66 / $45.74	Professional	26	$18.39	$25.66	$45.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.26 / $66.39 / $104.06	Professional	TC	$32.26	$66.39	$104.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $74.70 / $128.56	Professional		$48.70	$74.70	$128.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $20.87 / $38.54	Professional	26	$16.32	$20.87	$38.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.46 / $45.34 / $91.09	Professional	TC	$30.46	$45.34	$91.09