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 $100.00 / $173.78 / $371.54	Professional		$100.00	$173.78	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $93.33 / $204.17	Professional	26	$52.48	$93.33	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $154.88 / $288.40	Professional	TC	$112.20	$154.88	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $93.33	Professional	26	$40.74	$50.12	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $457.09	Professional		$229.09	$295.12	$457.09
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 $154.88 / $218.78 / $354.81	Professional	TC	$154.88	$218.78	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $208.93	Professional		$57.54	$125.89	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $562.34	Professional		$165.96	$302.00	$562.34
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 $112.20 / $223.87 / $436.52	Professional	TC	$112.20	$223.87	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $426.58	Professional		$181.97	$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 $125.89 / $199.53 / $323.59	Professional	TC	$125.89	$199.53	$323.59