Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.39 / $42.39 / $53.91	Facility	26	$42.39	$42.39	$53.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $93.44 / $163.13	Professional		$75.88	$93.44	$163.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $42.39 / $54.94	Professional	26	$15.71	$42.39	$54.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.47 / $48.82 / $146.43	Professional	TC	$42.47	$48.82	$146.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.60 / $34.61 / $48.00	Professional	26	$25.60	$34.61	$48.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $379.01 / $543.97	Professional		$104.55	$379.01	$543.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $23.30 / $37.28	Professional	26	$18.64	$23.30	$37.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.49 / $355.71 / $533.55	Professional	TC	$85.49	$355.71	$533.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $56.86 / $113.11	Professional		$42.85	$56.86	$113.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $206.64 / $743.25	Professional		$88.61	$206.64	$743.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $36.88 / $85.03	Professional	26	$19.67	$36.88	$85.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.81 / $156.06 / $714.03	Professional	TC	$46.81	$156.06	$714.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $147.32 / $485.97	Professional		$89.46	$147.32	$485.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $36.26 / $79.68	Professional	26	$17.46	$36.26	$79.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.31 / $87.20 / $394.71	Professional	TC	$54.31	$87.20	$394.71