Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $67.09 / $90.47	Facility	26	$58.86	$67.09	$90.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $200.23 / $316.27	Professional		$170.71	$200.23	$316.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.03 / $58.86 / $76.51	Professional	26	$56.03	$58.86	$76.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.85 / $138.47 / $260.23	Professional	TC	$111.85	$138.47	$260.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.82 / $56.61 / $100.16	Professional	26	$42.82	$56.61	$100.16
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 $63.12 / $78.90 / $113.88	Professional	26	$63.12	$78.90	$113.88
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 $56.21 / $128.63 / $211.18	Professional		$56.21	$128.63	$211.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $66.34 / $66.34	Facility	26	$66.34	$66.34	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $364.52 / $655.39	Professional		$171.98	$364.52	$655.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.94 / $75.52 / $127.12	Professional	26	$54.94	$75.52	$127.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.73 / $268.68 / $527.11	Professional	TC	$110.73	$268.68	$527.11
United Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $272.85 / $478.25	Professional		$183.81	$272.85	$478.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.07 / $62.45 / $121.32	Professional	26	$53.07	$62.45	$121.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.75 / $202.42 / $366.87	Professional	TC	$123.75	$202.42	$366.87