Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $83.18 / $107.15	Facility	26	$61.66	$83.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $467.74	Professional		$151.36	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $173.78	Professional	26	$56.23	$81.28	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $117.49 / $263.03	Professional	TC	$89.13	$117.49	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $131.83	Professional		$50.12	$50.12	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $112.20	Professional	26	$45.71	$56.23	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $416.87	Professional		$190.55	$257.04	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $131.83	Professional	26	$66.07	$83.18	$131.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $173.78 / $281.84	Professional	TC	$120.23	$173.78	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $186.21	Professional		$61.66	$102.33	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $501.19	Professional		$173.78	$354.81	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $144.54	Professional	26	$53.70	$81.28	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $177.83 / $354.81	Professional	TC	$87.10	$177.83	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $363.08	Professional		$154.88	$229.09	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $114.82	Professional	26	$54.95	$67.61	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $151.36 / $257.04	Professional	TC	$91.20	$151.36	$257.04