Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.28 / $61.28 / $93.69	Facility	26	$61.28	$61.28	$93.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $203.03 / $373.92	Professional		$176.23	$203.03	$373.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.71 / $64.14 / $83.16	Professional	26	$58.71	$64.14	$83.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.26 / $138.88 / $288.44	Professional	TC	$117.26	$138.88	$288.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $139.28	Professional		$73.14	$73.14	$139.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.06 / $55.44 / $69.53	Professional	26	$33.06	$55.44	$69.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.51 / $357.10 / $507.08	Professional		$261.51	$357.10	$507.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.18 / $92.10 / $130.78	Professional	26	$73.18	$92.10	$130.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $265.00 / $376.30	Professional	TC	$190.00	$265.00	$376.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $142.05 / $228.26	Professional		$58.91	$142.05	$228.26
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 $182.90 / $381.20 / $675.67	Professional		$182.90	$381.20	$675.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.91 / $84.89 / $147.22	Professional	26	$56.91	$84.89	$147.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.81 / $278.62 / $527.11	Professional	TC	$123.81	$278.62	$527.11
United Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $291.08 / $529.11	Professional		$183.09	$291.08	$529.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.66 / $70.59 / $126.32	Professional	26	$57.66	$70.59	$126.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.09 / $237.50 / $431.61	Professional	TC	$125.09	$237.50	$431.61