Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $66.07 / $81.28	Facility	26	$52.48	$66.07	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $346.74	Professional		$134.90	$181.97	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $77.62 / $134.90	Professional	26	$48.98	$77.62	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $109.65 / $218.78	Professional	TC	$85.11	$109.65	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $162.18	Professional		$100.00	$109.65	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $41.69 / $81.28	Professional	26	$38.02	$41.69	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $79.43 / $467.74	Professional	TC	$57.54	$79.43	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $223.87	Professional		$109.65	$138.04	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $81.28	Professional	26	$40.74	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $141.25	Professional	TC	$67.61	$87.10	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $173.78	Professional		$52.48	$102.33	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $295.12	Professional		$131.83	$190.55	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $112.20	Professional	26	$43.65	$66.07	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $117.49 / $204.17	Professional	TC	$79.43	$117.49	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $269.15	Professional		$134.90	$162.18	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $56.23 / $97.72	Professional	26	$46.77	$56.23	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $104.71 / $177.83	Professional	TC	$87.10	$104.71	$177.83