Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.96 / $60.96 / $93.69	Facility	26	$60.96	$60.96	$93.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $231.38 / $368.37	Professional		$206.45	$231.38	$368.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.41 / $63.79 / $77.33	Professional	26	$58.41	$63.79	$77.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.76 / $167.59 / $289.73	Professional	TC	$148.76	$167.59	$289.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $166.69	Professional		$166.69	$166.69	$166.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.06 / $55.44 / $83.16	Professional	26	$33.06	$55.44	$83.16
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 $264.95 / $357.67 / $515.00	Professional		$264.95	$357.67	$515.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $93.90 / $133.33	Professional	26	$74.95	$93.90	$133.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.33 / $263.77 / $374.55	Professional	TC	$208.33	$263.77	$374.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $164.93 / $260.08	Professional		$58.91	$164.93	$260.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.60 / $400.86 / $705.21	Professional		$214.60	$400.86	$705.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.91 / $87.08 / $151.07	Professional	26	$56.91	$87.08	$151.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.82 / $307.58 / $617.28	Professional	TC	$149.82	$307.58	$617.28
United Facility/Professional Professional Modifier Low / Median / High Price $231.62 / $335.62 / $594.59	Professional		$231.62	$335.62	$594.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.03 / $72.42 / $129.19	Professional	26	$58.03	$72.42	$129.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.77 / $265.00 / $455.54	Professional	TC	$169.77	$265.00	$455.54