Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.20 / $76.59 / $94.45	Facility	26	$67.20	$76.59	$94.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.70 / $271.20 / $431.27	Professional		$224.70	$271.20	$431.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.76 / $68.80 / $142.08	Professional	26	$62.76	$68.80	$142.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.53 / $200.43 / $360.22	Professional	TC	$159.53	$200.43	$360.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.17 / $190.17 / $240.59	Professional		$190.17	$190.17	$240.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.91 / $58.69 / $91.71	Professional	26	$48.91	$58.69	$91.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $221.06 / $547.29 / $547.29	Professional	TC	$221.06	$547.29	$547.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $356.26 / $531.70	Professional		$262.45	$356.26	$531.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.45 / $103.61 / $130.03	Professional	26	$72.45	$103.61	$130.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.29 / $263.77 / $395.65	Professional	TC	$200.29	$263.77	$395.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $203.06 / $309.02	Professional		$64.20	$203.06	$309.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.64 / $75.64 / $75.64	Facility	26	$75.64	$75.64	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $445.40 / $779.45	Professional		$256.35	$445.40	$779.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.77 / $87.22 / $152.97	Professional	26	$62.77	$87.22	$152.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.44 / $361.42 / $632.49	Professional	TC	$192.44	$361.42	$632.49
United Facility/Professional Professional Modifier Low / Median / High Price $246.35 / $369.14 / $608.90	Professional		$246.35	$369.14	$608.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $75.34 / $147.13	Professional	26	$61.05	$75.34	$147.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.76 / $299.30 / $455.18	Professional	TC	$179.76	$299.30	$455.18