Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.62 / $80.50 / $108.31	Facility	26	$70.62	$80.50	$108.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $150.60 / $195.78	Professional		$131.88	$150.60	$195.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $72.65 / $131.00	Professional	26	$52.54	$72.65	$131.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.90 / $75.92 / $114.82	Professional	TC	$63.90	$75.92	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.79 / $71.78 / $102.54	Professional	26	$49.79	$71.78	$102.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $157.82 / $252.51	Professional		$134.15	$157.82	$252.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.84 / $58.32 / $87.30	Professional	26	$55.84	$58.32	$87.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.91 / $101.98 / $163.16	Professional	TC	$73.91	$101.98	$163.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $76.91 / $149.83	Professional		$53.72	$76.91	$149.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $79.31	Facility	26	$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $273.70 / $568.54	Professional		$130.41	$273.70	$568.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $74.28 / $147.66	Professional	26	$57.50	$74.28	$147.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.96 / $136.30 / $364.67	Professional	TC	$62.96	$136.30	$364.67
United Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $177.16 / $347.31	Professional		$124.37	$177.16	$347.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $73.70 / $157.51	Professional	26	$53.83	$73.70	$157.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.94 / $93.49 / $235.27	Professional	TC	$65.94	$93.49	$235.27