Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.79 / $153.15 / $153.15	Facility	26	$68.79	$153.15	$153.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.37 / $678.37 / $678.37	Professional		$678.37	$678.37	$678.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.15 / $153.15 / $153.15	Professional	26	$153.15	$153.15	$153.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $525.23 / $525.23 / $525.23	Professional	TC	$525.23	$525.23	$525.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $94.29 / $110.93	Professional		$94.29	$94.29	$110.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.27 / $105.27 / $145.90	Professional	26	$105.27	$105.27	$145.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $170.01 / $246.51	Professional		$115.80	$170.01	$246.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.99 / $64.59 / $93.65	Professional	26	$43.99	$64.59	$93.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $105.43 / $152.87	Professional	TC	$71.81	$105.43	$152.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $186.06 / $741.41	Professional		$154.04	$186.06	$741.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $56.56 / $99.60	Professional	26	$39.17	$56.56	$99.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.90 / $118.31 / $471.23	Professional	TC	$97.90	$118.31	$471.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $134.47 / $185.10	Professional		$97.73	$134.47	$185.10
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $40.74 / $55.85	Professional	26	$34.63	$40.74	$55.85
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $62.85 / $75.42 / $141.05	Professional	TC	$62.85	$75.42	$141.05