Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.07 / $60.61 / $80.02	Facility	26	$52.07	$60.61	$80.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $168.64 / $272.73	Professional		$126.82	$168.64	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $52.08 / $102.00	Professional	26	$46.89	$52.08	$102.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $64.47 / $72.93 / $123.97	Professional	52	$64.47	$72.93	$123.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.87 / $104.15 / $217.98	Professional	TC	$81.87	$104.15	$217.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $105.85 / $196.26	Professional		$98.13	$105.85	$196.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $45.46 / $72.48	Professional	26	$37.88	$45.46	$72.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $96.02 / $115.61 / $471.25	Professional	TC	$96.02	$115.61	$471.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $243.06 / $376.74	Professional		$175.69	$243.06	$376.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.44 / $75.20 / $106.78	Professional	26	$54.44	$75.20	$106.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.25 / $167.86 / $260.18	Professional	TC	$121.25	$167.86	$260.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $89.73 / $159.46	Professional		$49.72	$89.73	$159.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $291.32 / $562.35	Professional		$134.13	$291.32	$562.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.60 / $69.45 / $121.69	Professional	26	$48.60	$69.45	$121.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.05 / $209.68 / $440.65	Professional	TC	$82.05	$209.68	$440.65
United Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $224.84 / $385.67	Professional		$147.88	$224.84	$385.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $59.19 / $118.56	Professional	26	$48.58	$59.19	$118.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.27 / $156.41 / $362.59	Professional	TC	$91.27	$156.41	$362.59