Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $88.14 / $106.78	Facility	26	$83.18	$88.14	$106.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $157.79 / $272.08	Professional		$137.01	$157.79	$272.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $83.18 / $108.86	Professional	26	$56.82	$83.18	$108.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.36 / $70.77 / $211.67	Professional	TC	$59.36	$70.77	$211.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $66.73 / $104.28	Professional	26	$66.73	$66.73	$104.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.79 / $457.37 / $731.79	Professional		$224.79	$457.37	$731.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.84 / $84.80 / $131.44	Professional	26	$67.84	$84.80	$131.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.94 / $372.57 / $596.11	Professional	TC	$155.94	$372.57	$596.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $104.28 / $198.40	Professional		$67.51	$104.28	$198.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $370.89 / $909.11	Professional		$151.54	$370.89	$909.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.72 / $100.11 / $170.59	Professional	26	$69.72	$100.11	$170.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $237.87 / $758.78	Professional	TC	$66.00	$237.87	$758.78
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $239.00 / $616.54	Professional		$160.44	$239.00	$616.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $92.91 / $166.26	Professional	26	$64.20	$92.91	$166.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.89 / $128.77 / $578.15	Professional	TC	$72.89	$128.77	$578.15