Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $54.64 / $73.87	Facility	26	$47.92	$54.64	$73.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $161.99 / $275.00	Professional		$127.45	$161.99	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.36 / $48.36 / $109.09	Professional	26	$43.36	$48.36	$109.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.25 / $101.69 / $220.00	Professional	TC	$80.25	$101.69	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $95.46 / $102.80	Professional		$94.66	$95.46	$102.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $39.77 / $65.56	Professional	26	$34.88	$39.77	$65.56
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.80 / $58.80 / $58.80	Professional	TC	$58.80	$58.80	$58.80
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 / $90.09 / $155.12	Professional		$45.90	$90.09	$155.12
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 $130.71 / $286.37 / $562.35	Professional		$130.71	$286.37	$562.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $67.25 / $121.69	Professional	26	$44.84	$67.25	$121.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.38 / $223.28 / $440.65	Professional	TC	$82.38	$223.28	$440.65
United Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $219.08 / $385.17	Professional		$141.62	$219.08	$385.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.50 / $55.80 / $102.50	Professional	26	$45.50	$55.80	$102.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.49 / $156.41 / $290.11	Professional	TC	$95.49	$156.41	$290.11