Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $173.78	Facility	26	$117.49	$117.49	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $676.08	Professional		$338.84	$380.19	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $107.15 / $199.53	Professional	26	$100.00	$107.15	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $257.04 / $380.19	Professional	TC	$239.88	$257.04	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $549.54	Professional		$281.84	$346.74	$549.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $128.82 / $199.53	Professional	26	$100.00	$128.82	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $218.78 / $354.81	Professional	TC	$177.83	$218.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $724.44	Professional		$281.84	$380.19	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $131.83 / $234.42	Professional	26	$100.00	$131.83	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $269.15 / $489.78	Professional	TC	$181.97	$269.15	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $588.84	Professional		$288.40	$354.81	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $208.93	Professional	26	$100.00	$125.89	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $229.09 / $398.11	Professional	TC	$186.21	$229.09	$398.11