Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.28 / $71.34 / $94.20	Facility	26	$61.28	$71.34	$94.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $191.95 / $314.95	Professional		$165.22	$191.95	$314.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $64.14 / $129.56	Professional	26	$58.24	$64.14	$129.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.50 / $127.19 / $256.70	Professional	TC	$106.50	$127.19	$256.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $127.63 / $138.02	Professional		$127.63	$127.63	$138.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $58.91 / $90.62	Professional	26	$44.59	$58.91	$90.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $336.30 / $471.07	Professional		$202.98	$336.30	$471.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.68 / $93.79 / $118.57	Professional	26	$65.68	$93.79	$118.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.66 / $249.64 / $358.40	Professional	TC	$134.66	$249.64	$358.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $123.79 / $207.40	Professional		$58.53	$123.79	$207.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $372.55 / $660.82	Professional		$170.98	$372.55	$660.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.22 / $79.22 / $139.50	Professional	26	$57.22	$79.22	$139.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.78 / $248.60 / $527.11	Professional	TC	$111.78	$248.60	$527.11
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $253.16 / $447.06	Professional		$174.74	$253.16	$447.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.18 / $65.17 / $124.16	Professional	26	$55.18	$65.17	$124.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.40 / $180.54 / $332.71	Professional	TC	$112.40	$180.54	$332.71