Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $70.79 / $89.13	Facility	26	$56.23	$70.79	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $537.03	Professional		$213.80	$281.84	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $173.78	Professional	26	$52.48	$85.11	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $213.80 / $363.08	Professional	TC	$158.49	$213.80	$363.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $45.71 / $87.10	Professional	26	$40.74	$45.71	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $489.78	Professional		$234.42	$309.03	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $120.23	Professional	26	$60.26	$87.10	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $223.87 / $354.81	Professional	TC	$169.82	$223.87	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $194.98 / $281.84	Professional		$56.23	$194.98	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $630.96	Professional		$218.78	$354.81	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $74.13 / $131.83	Professional	26	$47.86	$74.13	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $269.15 / $501.19	Professional	TC	$162.18	$269.15	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $467.74	Professional		$213.80	$281.84	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $102.33	Professional	26	$48.98	$60.26	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $223.87 / $380.19	Professional	TC	$158.49	$223.87	$380.19