Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.15 / $60.15 / $101.92	Facility	26	$60.15	$60.15	$101.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $123.60 / $216.54	Professional		$106.84	$123.60	$216.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $60.15 / $79.84	Professional	26	$49.65	$60.15	$79.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.62 / $60.46 / $163.69	Professional	TC	$49.62	$60.46	$163.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $64.17 / $75.39	Professional	26	$55.92	$64.17	$75.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $434.48 / $695.16	Professional		$162.69	$434.48	$695.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.44 / $74.30 / $105.50	Professional	26	$59.44	$74.30	$105.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.87 / $360.18 / $576.28	Professional	TC	$102.87	$360.18	$576.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $76.83 / $152.09	Professional		$55.62	$76.83	$152.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $276.89 / $857.72	Professional		$116.86	$276.89	$857.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.98 / $80.30 / $130.66	Professional	26	$56.98	$80.30	$130.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.10 / $171.87 / $717.22	Professional	TC	$55.10	$171.87	$717.22
United Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $184.34 / $563.72	Professional		$127.71	$184.34	$563.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $68.23 / $114.91	Professional	26	$54.50	$68.23	$114.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.21 / $97.51 / $466.98	Professional	TC	$63.21	$97.51	$466.98