Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.93 / $54.64 / $91.28	Facility	26	$47.93	$54.64	$91.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $158.99 / $260.88	Professional		$130.41	$158.99	$260.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.71 / $49.09 / $101.17	Professional	26	$43.71	$49.09	$101.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.51 / $102.09 / $220.00	Professional	TC	$82.51	$102.09	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $103.06 / $103.06	Professional		$98.32	$103.06	$103.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $43.71 / $65.56	Professional	26	$34.97	$43.71	$65.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $243.06 / $376.74	Professional		$174.90	$243.06	$376.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.65 / $75.20 / $106.78	Professional	26	$53.65	$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 $45.90 / $90.44 / $155.51	Professional		$45.90	$90.44	$155.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $289.00 / $562.35	Professional		$131.02	$289.00	$562.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $67.18 / $113.01	Professional	26	$44.84	$67.18	$113.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.56 / $223.63 / $440.65	Professional	TC	$81.56	$223.63	$440.65
United Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $219.71 / $379.88	Professional		$142.26	$219.71	$379.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $55.80 / $101.73	Professional	26	$43.56	$55.80	$101.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.04 / $157.63 / $291.31	Professional	TC	$97.04	$157.63	$291.31