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 / $44.44	Facility	26	$42.14	$42.14	$44.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $127.04 / $155.91	Professional		$113.15	$127.04	$155.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $42.92 / $52.28	Professional	26	$40.21	$42.92	$52.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.30 / $81.61 / $115.60	Professional	TC	$71.30	$81.61	$115.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $99.36 / $218.01	Professional		$99.36	$99.36	$218.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.16 / $61.16 / $61.16	Professional	26	$61.16	$61.16	$61.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $145.69 / $201.06	Professional		$116.56	$145.69	$201.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.44 / $56.69 / $89.85	Professional	26	$32.44	$56.69	$89.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.20 / $79.00 / $160.16	Professional	TC	$63.20	$79.00	$160.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $75.81 / $133.55	Professional		$42.81	$75.81	$133.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $151.74 / $291.27	Professional		$110.59	$151.74	$291.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.01 / $55.95 / $98.69	Professional	26	$45.01	$55.95	$98.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.62 / $90.47 / $234.10	Professional	TC	$68.62	$90.47	$234.10
United Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $139.62 / $222.42	Professional		$105.10	$139.62	$222.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $48.44 / $81.58	Professional	26	$38.82	$48.44	$81.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.54 / $87.79 / $147.53	Professional	TC	$65.54	$87.79	$147.53