Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $72.51 / $87.33	Professional		$67.02	$72.51	$87.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $19.44 / $25.35	Professional	26	$17.82	$19.44	$25.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.92 / $53.90 / $56.16	Professional	TC	$47.92	$53.90	$56.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $68.26 / $68.26	Professional		$68.26	$68.26	$68.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $23.99 / $29.00	Professional	26	$19.19	$23.99	$29.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $69.23 / $98.30	Professional		$68.26	$69.23	$98.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $19.45 / $26.84	Professional	26	$19.19	$19.45	$26.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.07 / $49.77 / $70.67	Professional	TC	$49.07	$49.77	$70.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $57.67 / $85.33	Professional		$20.50	$57.67	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $1,066.65	Professional		$67.55	$67.55	$1,066.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $46.32	Professional	26	$18.45	$18.45	$46.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $1,020.33	Professional	TC	$49.10	$49.10	$1,020.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $103.74 / $1,047.20	Professional		$69.23	$103.74	$1,047.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.75 / $22.09 / $38.47	Professional	26	$18.75	$22.09	$38.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $77.81 / $162.40	Professional	TC	$50.02	$77.81	$162.40