Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.69 / $21.69 / $25.80	Facility	26	$21.69	$21.69	$25.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $119.61 / $166.85	Professional		$111.21	$119.61	$166.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $22.61 / $37.13	Professional	26	$14.49	$22.61	$37.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.66 / $102.26 / $128.66	Professional	TC	$91.66	$102.26	$128.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $95.75 / $95.75	Professional		$95.75	$95.75	$95.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $24.73 / $32.72	Professional	26	$16.75	$24.73	$32.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $152.90 / $206.41	Professional		$98.44	$152.90	$206.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $23.20 / $31.55	Professional	26	$14.58	$23.20	$31.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.86 / $129.60 / $174.96	Professional	TC	$83.86	$129.60	$174.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $97.24 / $136.96	Professional		$22.03	$97.24	$136.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $158.35 / $257.72	Professional		$118.14	$158.35	$257.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $23.58 / $43.25	Professional	26	$16.02	$23.58	$43.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.71 / $134.41 / $225.51	Professional	TC	$97.71	$134.41	$225.51
United Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $155.18 / $239.86	Professional		$117.40	$155.18	$239.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $24.37 / $40.52	Professional	26	$16.09	$24.37	$40.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.31 / $127.49 / $202.86	Professional	TC	$92.31	$127.49	$202.86