Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $117.49 / $147.91	Facility	26	$83.18	$117.49	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $316.23	Professional		$134.90	$165.96	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $165.96	Professional	26	$60.26	$89.13	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $75.86 / $213.80	Professional	TC	$57.54	$75.86	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $128.82	Professional	26	$60.26	$85.11	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $794.33	Professional		$223.87	$457.09	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $138.04	Professional	26	$69.18	$85.11	$138.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $371.54 / $660.69	Professional	TC	$131.83	$371.54	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $616.60 / $977.24	Professional		$162.18	$616.60	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $190.55	Professional	26	$66.07	$102.33	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $151.36 / $676.08	Professional	TC	$63.10	$151.36	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $616.60	Professional		$162.18	$239.88	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $147.91	Professional	26	$63.10	$91.20	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $128.82 / $467.74	Professional	TC	$72.44	$128.82	$467.74