Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.14 / $42.14 / $44.28	Facility	26	$42.14	$42.14	$44.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $82.58 / $100.28	Professional		$73.28	$82.58	$100.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $42.14 / $52.06	Professional	26	$39.95	$42.14	$52.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $39.61 / $48.23	Professional	TC	$34.82	$39.61	$48.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $83.78 / $83.78	Professional		$83.78	$83.78	$83.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $78.95 / $118.95	Professional		$59.65	$78.95	$118.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.01 / $55.42 / $87.83	Professional	26	$33.01	$55.42	$87.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $21.83 / $33.72	Professional	TC	$16.80	$21.83	$33.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $48.74 / $94.74	Professional		$38.33	$48.74	$94.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $98.49 / $170.73	Professional		$66.56	$98.49	$170.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $55.57 / $95.20	Professional	26	$44.45	$55.57	$95.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $42.41 / $81.89	Professional	TC	$16.07	$42.41	$81.89
United Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $86.28 / $145.19	Professional		$69.72	$86.28	$145.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $47.79 / $80.51	Professional	26	$38.65	$47.79	$80.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.80 / $39.90 / $64.69	Professional	TC	$24.80	$39.90	$64.69