Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $97.72 / $123.03	Facility	26	$89.13	$97.72	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $602.56	Professional		$218.78	$288.40	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $97.72 / $199.53	Professional	26	$64.57	$97.72	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $190.55 / $363.08	Professional	TC	$144.54	$190.55	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $141.25	Professional	26	$56.23	$70.79	$141.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $147.91	Professional	26	$75.86	$93.33	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $263.03 / $407.38	Professional	TC	$190.55	$263.03	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $691.83	Professional		$257.04	$489.78	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $100.00 / $177.83	Professional	26	$66.07	$100.00	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $275.42 / $524.81	Professional	TC	$141.25	$275.42	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $512.86	Professional		$223.87	$323.59	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $138.04	Professional	26	$66.07	$83.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $239.88 / $398.11	Professional	TC	$151.36	$239.88	$398.11