Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.96 / $70.63 / $95.25	Facility	26	$61.96	$70.63	$95.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $177.32 / $270.48	Professional		$151.11	$177.32	$270.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.55 / $62.92 / $93.24	Professional	26	$57.55	$62.92	$93.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.98 / $105.18 / $201.04	Professional	TC	$88.98	$105.18	$201.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $119.49 / $119.49	Professional		$114.11	$119.49	$119.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.09 / $56.36 / $86.30	Professional	26	$45.09	$56.36	$86.30
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 $189.98 / $258.43 / $400.56	Professional		$189.98	$258.43	$400.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $83.00 / $119.89	Professional	26	$65.89	$83.00	$119.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.25 / $175.43 / $271.91	Professional	TC	$121.25	$175.43	$271.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $97.64 / $178.80	Professional		$59.18	$97.64	$178.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.44 / $69.44 / $69.44	Facility	26	$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $272.32 / $500.00	Professional		$148.36	$272.32	$500.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.55 / $79.51 / $133.86	Professional	26	$57.55	$79.51	$133.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.61 / $192.52 / $357.56	Professional	TC	$88.61	$192.52	$357.56
United Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $228.40 / $385.80	Professional		$154.97	$228.40	$385.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $69.06 / $127.72	Professional	26	$56.51	$69.06	$127.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.27 / $162.25 / $259.81	Professional	TC	$91.27	$162.25	$259.81