Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $79.43 / $97.72	Facility	26	$61.66	$79.43	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $512.86	Professional		$158.49	$234.42	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $208.93	Professional	26	$57.54	$93.33	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $134.90 / $257.04	Professional	TC	$97.72	$134.90	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $144.54	Professional		$107.15	$117.49	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $109.65	Professional	26	$45.71	$56.23	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $131.83	Professional	26	$66.07	$83.18	$131.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $169.82 / $269.15	Professional	TC	$120.23	$169.82	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $199.53	Professional		$64.57	$117.49	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $512.86	Professional		$190.55	$354.81	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $141.25	Professional	26	$53.70	$81.28	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $199.53 / $407.38	Professional	TC	$100.00	$199.53	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $407.38	Professional		$186.21	$257.04	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $66.07 / $114.82	Professional	26	$54.95	$66.07	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $181.97 / $302.00	Professional	TC	$123.03	$181.97	$302.00