Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $55.95 / $73.87	Facility	26	$47.92	$55.95	$73.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $141.10 / $260.51	Professional		$72.11	$141.10	$260.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.64 / $49.43 / $114.93	Professional	26	$45.64	$49.43	$114.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.19 / $102.09 / $208.96	Professional	TC	$82.19	$102.09	$208.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $101.68 / $119.62	Professional		$95.70	$101.68	$119.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $39.77 / $65.56	Professional	26	$34.97	$39.77	$65.56
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.03 / $96.78 / $471.25	Professional	TC	$59.03	$96.78	$471.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $238.42 / $369.55	Professional		$175.51	$238.42	$369.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $70.20 / $99.68	Professional	26	$54.25	$70.20	$99.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.26 / $357.63 / $554.32	Professional	50	$263.26	$357.63	$554.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.25 / $168.22 / $260.74	Professional	TC	$121.25	$168.22	$260.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $90.44 / $155.51	Professional		$45.90	$90.44	$155.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $271.70 / $484.14	Professional		$130.71	$271.70	$484.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $65.51 / $113.29	Professional	26	$44.84	$65.51	$113.29
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.80 / $231.80 / $264.70	Professional	50	$231.80	$231.80	$264.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.70 / $192.71 / $369.47	Professional	TC	$82.70	$192.71	$369.47
United Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $216.35 / $367.20	Professional		$145.38	$216.35	$367.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $54.50 / $99.54	Professional	26	$45.56	$54.50	$99.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.38 / $159.15 / $308.54	Professional	TC	$96.38	$159.15	$308.54