Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.87 / $29.87 / $50.85	Facility	26	$29.87	$29.87	$50.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $132.03 / $239.80	Professional		$114.94	$132.03	$239.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.08 / $31.82 / $59.32	Professional	26	$29.08	$31.82	$59.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.42 / $97.10 / $129.37	Professional	TC	$84.42	$97.10	$129.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $157.83 / $191.66	Professional		$136.32	$157.83	$191.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $30.09 / $45.14	Professional	26	$24.07	$30.09	$45.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $105.70 / $150.96	Professional		$68.84	$105.70	$150.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $34.34 / $52.26	Professional	26	$30.09	$34.34	$52.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.28 / $71.36 / $101.33	Professional	TC	$36.28	$71.36	$101.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $165.35 / $229.89	Professional		$31.97	$165.35	$229.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $177.75 / $318.30	Professional		$106.73	$177.75	$318.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.91 / $42.96 / $70.08	Professional	26	$31.91	$42.96	$70.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.76 / $120.77 / $250.58	Professional	TC	$68.76	$120.77	$250.58
United Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $148.66 / $235.00	Professional		$97.85	$148.66	$235.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $35.92 / $61.49	Professional	26	$29.15	$35.92	$61.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.60 / $111.72 / $184.85	Professional	TC	$63.60	$111.72	$184.85