Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $33.11 / $40.74	Facility	26	$23.44	$33.11	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $302.00	Professional		$91.20	$120.23	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $34.67 / $91.20	Professional	26	$21.88	$34.67	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $95.50 / $169.82	Professional	TC	$69.18	$95.50	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $42.66	Professional	26	$19.05	$23.44	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $151.36	Professional		$77.62	$83.18	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $34.67 / $54.95	Professional	26	$27.54	$34.67	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $50.12 / $102.33	Professional	TC	$48.98	$50.12	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $104.71 / $147.91	Professional		$26.30	$104.71	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $251.19	Professional		$87.10	$131.83	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $33.88 / $56.23	Professional	26	$21.38	$33.88	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $102.33 / $199.53	Professional	TC	$57.54	$102.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $199.53	Professional		$81.28	$123.03	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $27.54 / $46.77	Professional	26	$22.91	$27.54	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $95.50 / $154.88	Professional	TC	$54.95	$95.50	$154.88