Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $97.72 / $112.20	Facility	26	$64.57	$97.72	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $676.08	Professional		$234.42	$363.08	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $204.17	Professional	26	$64.57	$112.20	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $251.19 / $478.63	Professional	TC	$165.96	$251.19	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Professional		$169.82	$169.82	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $47.86 / $120.23	Professional	26	$46.77	$47.86	$120.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $645.65	Professional		$331.13	$407.38	$645.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $147.91	Professional	26	$61.66	$95.50	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $309.03 / $501.19	Professional	TC	$239.88	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $912.01	Professional		$229.09	$467.74	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $89.13 / $162.18	Professional	26	$56.23	$89.13	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $354.81 / $758.58	Professional	TC	$162.18	$354.81	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $691.83	Professional		$245.47	$398.11	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $120.23	Professional	26	$57.54	$70.79	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $309.03 / $575.44	Professional	TC	$177.83	$309.03	$575.44