Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $74.13 / $91.20	Facility	26	$57.54	$74.13	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $660.69	Professional		$218.78	$354.81	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $177.83	Professional	26	$57.54	$102.33	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $245.47 / $457.09	Professional	TC	$162.18	$245.47	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $190.55	Professional		$158.49	$158.49	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $45.71 / $95.50	Professional	26	$42.66	$45.71	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $630.96	Professional		$295.12	$398.11	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $125.89	Professional	26	$63.10	$89.13	$125.89
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 $213.80 / $467.74 / $912.01	Professional		$213.80	$467.74	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $77.62 / $147.91	Professional	26	$50.12	$77.62	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $354.81 / $794.33	Professional	TC	$158.49	$354.81	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $707.95	Professional		$229.09	$416.87	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $107.15	Professional	26	$51.29	$61.66	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $323.59 / $616.60	Professional	TC	$169.82	$323.59	$616.60