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 $104.71 / $218.78 / $446.68	Professional		$104.71	$218.78	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $162.18	Professional	26	$52.48	$83.18	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $186.21 / $316.23	Professional	TC	$141.25	$186.21	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $93.33	Professional	26	$40.74	$51.29	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $467.74	Professional		$234.42	$295.12	$467.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $117.49	Professional	26	$58.88	$75.86	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $354.81	Professional	TC	$169.82	$218.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $588.84	Professional		$194.98	$316.23	$588.84
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 $144.54 / $245.47 / $457.09	Professional	TC	$144.54	$245.47	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $426.58	Professional		$199.53	$269.15	$426.58
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 $144.54 / $208.93 / $331.13	Professional	TC	$144.54	$208.93	$331.13