Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $76.56	Facility	26	$45.71	$45.71	$76.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $140.69 / $177.10	Professional		$112.25	$140.69	$177.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.56 / $46.35 / $89.51	Professional	26	$31.56	$46.35	$89.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $94.99 / $118.98	Professional	TC	$79.54	$94.99	$118.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $36.70 / $48.15	Professional	26	$36.15	$36.70	$48.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $113.40 / $175.77	Professional		$106.45	$113.40	$175.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $45.10 / $69.90	Professional	26	$36.08	$45.10	$69.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.30 / $69.55 / $109.28	Professional	TC	$68.30	$69.55	$109.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $109.70 / $184.57	Professional		$48.13	$109.70	$184.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $162.03 / $296.55	Professional		$111.15	$162.03	$296.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $53.17 / $91.69	Professional	26	$36.54	$53.17	$91.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.02 / $108.84 / $217.11	Professional	TC	$73.02	$108.84	$217.11
United Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $155.72 / $275.22	Professional		$123.10	$155.72	$275.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $50.40 / $83.77	Professional	26	$33.86	$50.40	$83.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.35 / $112.18 / $178.75	Professional	TC	$83.35	$112.18	$178.75