Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.93 / $45.93 / $70.52	Facility	26	$45.93	$45.93	$70.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $138.24 / $178.44	Professional		$117.32	$138.24	$178.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.15 / $46.99 / $58.46	Professional	26	$44.15	$46.99	$58.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.76 / $89.92 / $117.89	Professional	TC	$73.76	$89.92	$117.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $41.73 / $66.69	Professional	26	$33.38	$41.73	$66.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $147.49 / $240.64	Professional		$136.53	$147.49	$240.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.86 / $63.80 / $90.59	Professional	26	$49.86	$63.80	$90.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.69 / $83.69 / $149.06	Professional	TC	$83.69	$83.69	$149.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $90.18 / $162.43	Professional		$43.82	$90.18	$162.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $210.78 / $343.58	Professional		$129.43	$210.78	$343.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.80 / $59.32 / $101.88	Professional	26	$42.80	$59.32	$101.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.40 / $150.83 / $239.00	Professional	TC	$84.40	$150.83	$239.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $175.19 / $294.45	Professional		$125.09	$175.19	$294.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.03 / $49.44 / $91.69	Professional	26	$42.03	$49.44	$91.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.32 / $123.49 / $200.66	Professional	TC	$86.32	$123.49	$200.66