Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $69.18 / $87.10	Facility	26	$54.95	$69.18	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $457.09	Professional		$181.97	$257.04	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $204.17	Professional	26	$52.48	$81.28	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $177.83 / $331.13	Professional	TC	$125.89	$177.83	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $74.13	Professional	26	$39.81	$50.12	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $489.78	Professional		$245.47	$316.23	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $89.13 / $138.04	Professional	26	$69.18	$89.13	$138.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $229.09 / $354.81	Professional	TC	$181.97	$229.09	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $602.56	Professional		$208.93	$407.38	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $144.54	Professional	26	$47.86	$81.28	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $245.47 / $489.78	Professional	TC	$128.82	$245.47	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $457.09	Professional		$208.93	$295.12	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $112.20	Professional	26	$52.48	$67.61	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $218.78 / $363.08	Professional	TC	$151.36	$218.78	$363.08