Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.96 / $70.63 / $95.25	Facility	26	$61.96	$70.63	$95.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.01 / $194.77 / $291.02	Professional		$159.01	$194.77	$291.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.53 / $64.83 / $128.05	Professional	26	$58.53	$64.83	$128.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.16 / $115.30 / $208.96	Professional	TC	$98.16	$115.30	$208.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $124.48 / $126.66	Professional		$117.16	$124.48	$126.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.98 / $56.36 / $86.30	Professional	26	$44.98	$56.36	$86.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $471.25 / $471.25 / $471.25	Professional	TC	$471.25	$471.25	$471.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $251.41 / $389.68	Professional		$189.98	$251.41	$389.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $83.00 / $119.89	Professional	26	$65.89	$83.00	$119.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.25 / $168.41 / $261.02	Professional	TC	$121.25	$168.41	$261.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $107.48 / $190.37	Professional		$59.18	$107.48	$190.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.79 / $69.79 / $69.79	Facility	26	$69.79	$69.79	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $288.38 / $567.11	Professional		$159.94	$288.38	$567.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.86 / $79.58 / $133.86	Professional	26	$57.86	$79.58	$133.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.55 / $210.11 / $434.18	Professional	TC	$99.55	$210.11	$434.18
United Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $265.33 / $440.46	Professional		$183.20	$265.33	$440.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $65.90 / $121.31	Professional	26	$55.52	$65.90	$121.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.61 / $186.54 / $323.11	Professional	TC	$125.61	$186.54	$323.11