Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.65 / $57.65 / $88.59	Facility	26	$57.65	$57.65	$88.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $289.36 / $475.00	Professional		$232.39	$289.36	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.65 / $70.13 / $140.00	Professional	26	$57.65	$70.13	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.69 / $217.41 / $335.00	Professional	TC	$174.69	$217.41	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $65.61 / $65.61	Professional	26	$41.94	$65.61	$65.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.14 / $410.67 / $636.53	Professional		$344.14	$410.67	$636.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.00 / $77.50 / $116.25	Professional	26	$62.00	$77.50	$116.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $333.17 / $516.41	Professional	TC	$285.00	$333.17	$516.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $187.38 / $281.57	Professional		$55.70	$187.38	$281.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $545.84 / $917.72	Professional		$227.63	$545.84	$917.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $74.36 / $128.00	Professional	26	$53.80	$74.36	$128.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.82 / $441.44 / $817.55	Professional	TC	$168.82	$441.44	$817.55
United Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $416.34 / $699.84	Professional		$239.28	$416.34	$699.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $62.75 / $111.47	Professional	26	$52.15	$62.75	$111.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.61 / $338.06 / $602.53	Professional	TC	$180.61	$338.06	$602.53