Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.34 / $33.34 / $56.21	Facility	26	$33.34	$33.34	$56.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $137.34 / $168.46	Professional		$125.36	$137.34	$168.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $34.40 / $56.26	Professional	26	$31.43	$34.40	$56.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $104.36 / $125.99	Professional	TC	$93.47	$104.36	$125.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $43.56 / $49.89	Professional	26	$26.61	$43.56	$49.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $120.21 / $180.31	Professional		$112.79	$120.21	$180.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.61 / $42.03 / $59.68	Professional	26	$33.61	$42.03	$59.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.51 / $78.18 / $121.17	Professional	TC	$75.51	$78.18	$121.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $117.13 / $164.63	Professional		$35.34	$117.13	$164.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $161.12 / $311.13	Professional		$125.37	$161.12	$311.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $43.92 / $77.44	Professional	26	$34.10	$43.92	$77.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.62 / $120.23 / $230.76	Professional	TC	$91.62	$120.23	$230.76
United Facility/Professional Professional Modifier Low / Median / High Price $126.73 / $157.56 / $286.49	Professional		$126.73	$157.56	$286.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $39.26 / $66.88	Professional	26	$33.28	$39.26	$66.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.64 / $114.11 / $188.83	Professional	TC	$93.64	$114.11	$188.83