Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.51 / $54.51 / $83.76	Facility	26	$54.51	$54.51	$83.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $220.70 / $372.00	Professional		$180.89	$220.70	$372.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.19 / $59.50 / $85.03	Professional	26	$52.19	$59.50	$85.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.08 / $156.11 / $308.85	Professional	TC	$126.08	$156.11	$308.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $143.24 / $143.24	Professional		$143.24	$143.24	$143.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $45.22 / $88.03	Professional	26	$39.65	$45.22	$88.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $317.79 / $479.06	Professional		$258.64	$317.79	$479.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $88.90 / $124.11	Professional	26	$71.12	$88.90	$124.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $228.89 / $354.77	Professional	TC	$190.00	$228.89	$354.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $140.75 / $223.55	Professional		$52.66	$140.75	$223.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $335.58 / $635.90	Professional		$183.60	$335.58	$635.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.46 / $80.47 / $143.66	Professional	26	$51.46	$80.47	$143.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.46 / $254.82 / $518.66	Professional	TC	$127.46	$254.82	$518.66
United Facility/Professional Professional Modifier Low / Median / High Price $209.19 / $297.07 / $510.88	Professional		$209.19	$297.07	$510.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.35 / $68.04 / $120.97	Professional	26	$51.35	$68.04	$120.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.85 / $222.93 / $391.97	Professional	TC	$153.85	$222.93	$391.97