Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.69 / $58.69 / $90.20	Facility	26	$58.69	$58.69	$90.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $184.91 / $315.56	Professional		$164.38	$184.91	$315.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $59.84 / $90.20	Professional	26	$55.43	$59.84	$90.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $123.84 / $259.88	Professional	TC	$108.96	$123.84	$259.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $66.78 / $84.59	Professional	26	$42.70	$66.78	$84.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.79 / $300.70 / $464.88	Professional		$237.79	$300.70	$464.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.76 / $78.90 / $113.56	Professional	26	$62.76	$78.90	$113.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.11 / $221.81 / $343.80	Professional	TC	$172.11	$221.81	$343.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $122.05 / $209.36	Professional		$56.71	$122.05	$209.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $363.59 / $655.04	Professional		$170.45	$363.59	$655.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.78 / $75.28 / $130.00	Professional	26	$54.78	$75.28	$130.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.79 / $268.68 / $527.11	Professional	TC	$109.79	$268.68	$527.11
United Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $272.85 / $473.55	Professional		$182.96	$272.85	$473.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.31 / $62.71 / $121.33	Professional	26	$53.31	$62.71	$121.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.36 / $196.60 / $349.74	Professional	TC	$118.36	$196.60	$349.74