Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.29 / $59.70 / $88.05	Facility	26	$57.29	$59.70	$88.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $161.18 / $268.77	Professional		$130.55	$161.18	$268.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.42 / $59.70 / $120.87	Professional	26	$54.42	$59.70	$120.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $89.92 / $203.09	Professional	TC	$75.73	$89.92	$203.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $108.44 / $108.44	Professional		$103.61	$108.44	$108.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $55.43 / $79.59	Professional	26	$41.57	$55.43	$79.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $244.96 / $379.68	Professional		$155.51	$244.96	$379.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $77.09 / $110.87	Professional	26	$60.69	$77.09	$110.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.37 / $167.86 / $260.18	Professional	TC	$91.37	$167.86	$260.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $87.95 / $160.66	Professional		$54.71	$87.95	$160.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.44 / $64.44 / $64.44	Facility	26	$64.44	$64.44	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $293.92 / $546.92	Professional		$134.12	$293.92	$546.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $74.31 / $130.44	Professional	26	$53.47	$74.31	$130.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.58 / $187.87 / $422.12	Professional	TC	$79.58	$187.87	$422.12
United Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $212.89 / $368.47	Professional		$135.09	$212.89	$368.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $61.09 / $115.89	Professional	26	$51.84	$61.09	$115.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.26 / $121.00 / $321.85	Professional	TC	$80.26	$121.00	$321.85