Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.51 / $62.14 / $87.25	Facility	26	$54.51	$62.14	$87.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $179.12 / $321.13	Professional		$145.26	$179.12	$321.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.19 / $59.49 / $112.67	Professional	26	$52.19	$59.49	$112.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.55 / $115.69 / $261.63	Professional	TC	$92.55	$115.69	$261.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $111.96 / $115.33	Professional		$111.96	$111.96	$115.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $49.56 / $74.34	Professional	26	$39.65	$49.56	$74.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $299.72 / $464.56	Professional		$248.84	$299.72	$464.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.12 / $83.90 / $119.13	Professional	26	$67.12	$83.90	$119.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.98 / $215.82 / $334.52	Professional	TC	$178.98	$215.82	$334.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $107.83 / $181.92	Professional		$52.04	$107.83	$181.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.98 / $60.98 / $60.98	Facility	26	$60.98	$60.98	$60.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $314.29 / $558.94	Professional		$150.01	$314.29	$558.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $75.45 / $135.43	Professional	26	$50.55	$75.45	$135.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.60 / $223.12 / $458.21	Professional	TC	$97.60	$223.12	$458.21
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $237.45 / $459.42	Professional		$152.66	$237.45	$459.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $63.97 / $115.46	Professional	26	$51.27	$63.97	$115.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.80 / $179.01 / $319.18	Professional	TC	$98.80	$179.01	$319.18