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 / $95.50	Facility	26	$54.95	$69.18	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $489.78	Professional		$151.36	$223.87	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $223.87	Professional	26	$52.48	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $125.89 / $288.40	Professional	TC	$97.72	$125.89	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $97.72	Professional	26	$39.81	$47.86	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $467.74	Professional		$204.17	$302.00	$467.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $128.82	Professional	26	$64.57	$83.18	$128.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $213.80 / $346.74	Professional	TC	$134.90	$213.80	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $190.55	Professional		$54.95	$112.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $549.54	Professional		$147.91	$302.00	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $141.25	Professional	26	$47.86	$77.62	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $208.93 / $416.87	Professional	TC	$95.50	$208.93	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $416.87	Professional		$151.36	$245.47	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $109.65	Professional	26	$50.12	$64.57	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $309.03	Professional	TC	$97.72	$162.18	$309.03