Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.81 / $76.17 / $102.23	Facility	26	$66.81	$76.17	$102.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $236.43 / $352.00	Professional		$185.22	$236.43	$352.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $69.65 / $130.16	Professional	26	$60.49	$69.65	$130.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.85 / $151.32 / $260.97	Professional	TC	$118.85	$151.32	$260.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $146.50 / $270.98	Professional		$139.44	$146.50	$270.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.39 / $62.89 / $90.74	Professional	26	$48.39	$62.89	$90.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $146.97 / $471.25 / $471.25	Professional	TC	$146.97	$471.25	$471.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.43 / $301.62 / $467.51	Professional		$244.43	$301.62	$467.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $88.90 / $129.30	Professional	26	$71.12	$88.90	$129.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.39 / $212.72 / $329.71	Professional	TC	$170.39	$212.72	$329.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $129.81 / $220.17	Professional		$63.51	$129.81	$220.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.84 / $74.84 / $74.84	Facility	26	$74.84	$74.84	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $323.86 / $572.51	Professional		$182.66	$323.86	$572.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.11 / $85.91 / $152.12	Professional	26	$62.11	$85.91	$152.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.20 / $241.21 / $422.12	Professional	TC	$118.20	$241.21	$422.12
United Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $268.72 / $429.95	Professional		$188.84	$268.72	$429.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.66 / $75.56 / $147.80	Professional	26	$60.66	$75.56	$147.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.65 / $199.98 / $336.55	Professional	TC	$122.65	$199.98	$336.55