Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.18 / $53.94 / $86.06	Facility	26	$45.18	$53.94	$86.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $162.32 / $182.88	Professional		$118.93	$162.32	$182.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $63.21 / $71.22	Professional	26	$45.18	$63.21	$71.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.75 / $99.11 / $111.66	Professional	TC	$73.75	$99.11	$111.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $91.97 / $91.97	Professional		$91.97	$91.97	$91.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $54.78 / $67.42	Professional	26	$33.71	$54.78	$67.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $131.77 / $187.11	Professional		$108.21	$131.77	$187.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $41.41 / $62.11	Professional	26	$34.04	$41.41	$62.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.45 / $90.36 / $128.31	Professional	TC	$72.45	$90.36	$128.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $75.98 / $135.26	Professional		$44.77	$75.98	$135.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $233.21 / $347.88	Professional		$194.96	$233.21	$347.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.73 / $88.57 / $93.73	Professional	26	$54.73	$88.57	$93.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.60 / $143.07 / $259.31	Professional	TC	$123.60	$143.07	$259.31
United Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $153.47 / $255.40	Professional		$110.42	$153.47	$255.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $48.66 / $86.13	Professional	26	$39.07	$48.66	$86.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.48 / $109.60 / $200.93	Professional	TC	$70.48	$109.60	$200.93