Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.09 / $50.26 / $74.33	Facility	26	$44.09	$50.26	$74.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $146.74 / $284.27	Professional		$122.93	$146.74	$284.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $46.17 / $99.65	Professional	26	$42.60	$46.17	$99.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $87.95 / $142.53	Professional	TC	$78.84	$87.95	$142.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $151.93 / $194.46	Professional		$96.80	$151.93	$194.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $46.80 / $65.97	Professional	26	$35.19	$46.80	$65.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $62.05 / $82.52 / $104.71	Professional	TC	$62.05	$82.52	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $143.88 / $221.61	Professional		$121.54	$143.88	$221.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.16 / $65.20 / $90.76	Professional	26	$52.16	$65.20	$90.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.97 / $78.69 / $121.96	Professional	TC	$74.97	$78.69	$121.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $93.07 / $154.96	Professional		$47.06	$93.07	$154.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $174.55 / $286.01	Professional		$127.08	$174.55	$286.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $62.68 / $103.64	Professional	26	$45.72	$62.68	$103.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.92 / $109.96 / $180.11	Professional	TC	$79.92	$109.96	$180.11
United Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $142.43 / $243.13	Professional		$121.48	$142.43	$243.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $51.47 / $90.76	Professional	26	$43.26	$51.47	$90.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.08 / $91.66 / $158.15	Professional	TC	$76.08	$91.66	$158.15