Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $107.15 / $123.03	Facility	26	$70.79	$107.15	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $676.08	Professional		$269.15	$380.19	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $190.55	Professional	26	$70.79	$112.20	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $281.84 / $501.19	Professional	TC	$199.53	$281.84	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $64.57	Professional	26	$56.23	$56.23	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $575.44	Professional		$323.59	$338.84	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $144.54	Professional	26	$74.13	$91.20	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $251.19 / $436.52	Professional	TC	$239.88	$251.19	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $933.25	Professional		$302.00	$602.56	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $177.83	Professional	26	$61.66	$95.50	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $371.54 / $741.31	Professional	TC	$194.98	$371.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $691.83	Professional		$281.84	$398.11	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $131.83	Professional	26	$63.10	$77.62	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $316.23 / $588.84	Professional	TC	$208.93	$316.23	$588.84