Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.90 / $55.90 / $85.90	Facility	26	$55.90	$55.90	$85.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $221.36 / $304.60	Professional		$121.39	$221.36	$304.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.17 / $58.32 / $103.00	Professional	26	$53.17	$58.32	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.27 / $163.04 / $251.41	Professional	TC	$137.27	$163.04	$251.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $158.47 / $158.47	Professional		$158.47	$158.47	$158.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.67 / $53.63 / $72.20	Professional	26	$40.67	$53.63	$72.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.29 / $293.93 / $455.59	Professional		$229.29	$293.93	$455.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.29 / $75.20 / $108.17	Professional	26	$59.29	$75.20	$108.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.37 / $218.73 / $339.03	Professional	TC	$169.37	$218.73	$339.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $158.91 / $247.40	Professional		$54.01	$158.91	$247.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $329.88 / $562.35	Professional		$197.93	$329.88	$562.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $72.52 / $120.89	Professional	26	$52.17	$72.52	$120.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.44 / $253.39 / $458.49	Professional	TC	$143.44	$253.39	$458.49
United Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $270.23 / $454.09	Professional		$203.33	$270.23	$454.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.28 / $59.76 / $113.00	Professional	26	$50.28	$59.76	$113.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.35 / $208.73 / $341.88	Professional	TC	$144.35	$208.73	$341.88