Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.28 / $61.28 / $93.69	Facility	26	$61.28	$61.28	$93.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $217.38 / $342.37	Professional		$192.85	$217.38	$342.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $62.59 / $78.79	Professional	26	$57.89	$62.59	$78.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.87 / $153.24 / $287.81	Professional	TC	$134.87	$153.24	$287.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $55.44 / $69.53	Professional	26	$45.08	$55.44	$69.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.55 / $345.55 / $501.07	Professional		$255.55	$345.55	$501.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.55 / $82.50 / $118.57	Professional	26	$65.55	$82.50	$118.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.58 / $263.05 / $373.53	Professional	TC	$193.58	$263.05	$373.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $156.59 / $243.97	Professional		$58.91	$156.59	$243.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $426.27 / $793.42	Professional		$200.42	$426.27	$793.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.91 / $79.12 / $132.51	Professional	26	$56.91	$79.12	$132.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.55 / $336.08 / $659.71	Professional	TC	$136.55	$336.08	$659.71
United Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $328.90 / $558.86	Professional		$214.72	$328.90	$558.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $68.41 / $125.65	Professional	26	$54.91	$68.41	$125.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.87 / $269.08 / $471.23	Professional	TC	$152.87	$269.08	$471.23