Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.57 / $48.57 / $81.61	Facility	26	$48.57	$48.57	$81.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $194.24 / $239.02	Professional		$177.92	$194.24	$239.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $50.01 / $62.17	Professional	26	$43.52	$50.01	$62.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.41 / $144.97 / $176.84	Professional	TC	$131.41	$144.97	$176.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $158.22 / $158.22	Professional		$75.16	$158.22	$158.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.50 / $60.50 / $60.50	Professional	26	$60.50	$60.50	$60.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $222.43 / $344.76	Professional		$172.66	$222.43	$344.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $54.37 / $84.27	Professional	26	$43.78	$54.37	$84.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.87 / $168.05 / $260.47	Professional	TC	$128.87	$168.05	$260.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $543.86 / $543.86 / $543.86	Professional		$543.86	$543.86	$543.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $59.80 / $59.80	Facility	26	$59.80	$59.80	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $275.58 / $489.32	Professional		$195.17	$275.58	$489.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.04 / $65.56 / $111.52	Professional	26	$49.04	$65.56	$111.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.27 / $204.32 / $325.50	Professional	TC	$145.27	$204.32	$325.50
United Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $242.18 / $454.37	Professional		$207.03	$242.18	$454.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.66 / $59.46 / $105.89	Professional	26	$50.66	$59.46	$105.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.16 / $187.13 / $373.59	Professional	TC	$153.16	$187.13	$373.59