Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $120.23	Professional		$75.86	$85.11	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $44.67 / $70.79	Professional	26	$39.81	$44.67	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $40.74 / $58.88	Professional	TC	$33.88	$40.74	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $87.10	Professional		$64.57	$79.43	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $134.90	Professional		$60.26	$87.10	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $64.57 / $100.00	Professional	26	$32.36	$64.57	$100.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.12 / $42.66	Professional	TC	$17.78	$25.12	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $141.25	Professional		$57.54	$75.86	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $54.95 / $95.50	Professional	26	$42.66	$54.95	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $44.67 / $83.18	Professional	TC	$16.60	$44.67	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $141.25	Professional		$69.18	$87.10	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $81.28	Professional	26	$38.90	$47.86	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $66.07	Professional	TC	$25.12	$39.81	$66.07