Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $61.66 / $83.18	Facility	26	$48.98	$61.66	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $446.68	Professional		$177.83	$199.53	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $123.03	Professional	26	$42.66	$50.12	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $151.36 / $229.09	Professional	TC	$131.83	$151.36	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $95.50	Professional	26	$38.90	$47.86	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $354.81	Professional		$173.78	$223.87	$354.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $87.10	Professional	26	$43.65	$54.95	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $169.82 / $269.15	Professional	TC	$128.82	$169.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $501.19	Professional		$190.55	$281.84	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $114.82	Professional	26	$44.67	$67.61	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $208.93 / $371.54	Professional	TC	$141.25	$208.93	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $416.87	Professional		$199.53	$245.47	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $58.88 / $102.33	Professional	26	$48.98	$58.88	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $181.97 / $309.03	Professional	TC	$151.36	$181.97	$309.03