Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.19 / $86.19 / $132.85	Facility	26	$86.19	$86.19	$132.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.23 / $277.33 / $434.02	Professional		$244.23	$277.33	$434.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.27 / $86.19 / $109.36	Professional	26	$81.27	$86.19	$109.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.96 / $187.16 / $350.77	Professional	TC	$162.96	$187.16	$350.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.92 / $117.92 / $117.92	Professional	26	$117.92	$117.92	$117.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.47 / $343.90 / $533.04	Professional		$281.47	$343.90	$533.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.20 / $78.90 / $122.29	Professional	26	$73.20	$78.90	$122.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.00 / $265.00 / $410.75	Professional	TC	$212.00	$265.00	$410.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $220.65 / $376.91	Professional		$82.54	$220.65	$376.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.67 / $492.46 / $873.53	Professional		$302.67	$492.46	$873.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.16 / $108.84 / $188.18	Professional	26	$80.16	$108.84	$188.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.80 / $379.11 / $668.94	Professional	TC	$216.80	$379.11	$668.94
United Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $436.21 / $744.04	Professional		$286.13	$436.21	$744.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $92.37 / $176.87	Professional	26	$77.92	$92.37	$176.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.62 / $342.33 / $665.37	Professional	TC	$200.62	$342.33	$665.37