Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.23 / $72.23 / $111.07	Facility	26	$72.23	$72.23	$111.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.83 / $301.73 / $475.00	Professional		$251.83	$301.73	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.16 / $75.45 / $140.00	Professional	26	$69.16	$75.45	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.61 / $213.69 / $355.95	Professional	TC	$179.61	$213.69	$355.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.86 / $122.86 / $122.86	Professional	26	$53.86	$122.86	$122.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.32 / $410.85 / $583.40	Professional		$345.32	$410.85	$583.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.00 / $77.50 / $106.95	Professional	26	$62.00	$77.50	$106.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $333.35 / $460.02	Professional	TC	$285.00	$333.35	$460.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $199.03 / $305.17	Professional		$69.83	$199.03	$305.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $81.40 / $81.40	Facility	26	$81.40	$81.40	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.03 / $545.84 / $815.44	Professional		$245.03	$545.84	$815.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $81.99 / $149.38	Professional	26	$61.05	$81.99	$149.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.80 / $441.44 / $690.12	Professional	TC	$173.80	$441.44	$690.12
United Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $446.93 / $726.91	Professional		$257.30	$446.93	$726.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.74 / $74.56 / $138.37	Professional	26	$55.74	$74.56	$138.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.88 / $333.94 / $569.64	Professional	TC	$183.88	$333.94	$569.64