Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.52 / $23.52 / $23.52	Facility	26	$23.52	$23.52	$23.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $121.05 / $146.69	Professional		$101.65	$121.05	$146.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $26.20 / $32.61	Professional	26	$23.52	$26.20	$32.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $97.12 / $117.20	Professional	TC	$69.04	$97.12	$117.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $19.75 / $19.75	Professional	26	$19.75	$19.75	$19.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $180.10 / $243.13	Professional		$84.39	$180.10	$243.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.54 / $40.50 / $56.16	Professional	26	$29.54	$40.50	$56.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.85 / $138.60 / $191.26	Professional	TC	$54.85	$138.60	$191.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $123.28 / $181.30	Professional		$33.54	$123.28	$181.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $200.92 / $326.33	Professional		$145.37	$200.92	$326.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $36.39 / $66.18	Professional	26	$25.63	$36.39	$66.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.79 / $163.01 / $275.80	Professional	TC	$117.79	$163.01	$275.80
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $183.45 / $288.02	Professional		$140.80	$183.45	$288.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.57 / $32.65 / $50.74	Professional	26	$23.57	$32.65	$50.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.74 / $152.72 / $251.52	Professional	TC	$115.74	$152.72	$251.52