Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $89.13 / $112.20	Facility	26	$70.79	$89.13	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $331.13	Professional		$131.83	$173.78	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $199.53	Professional	26	$57.54	$95.50	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $85.11 / $218.78	Professional	TC	$66.07	$85.11	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $109.65	Professional	26	$51.29	$67.61	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $302.00	Professional		$134.90	$158.49	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $60.26 / $93.33	Professional	26	$56.23	$60.26	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $102.33 / $181.97	Professional	TC	$74.13	$102.33	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $154.88	Professional		$54.95	$81.28	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $407.38	Professional		$114.82	$208.93	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $144.54	Professional	26	$53.70	$75.86	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $107.15 / $323.59	Professional	TC	$56.23	$107.15	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $371.54	Professional		$123.03	$173.78	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $114.82	Professional	26	$52.48	$70.79	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $93.33 / $263.03	Professional	TC	$66.07	$93.33	$263.03