Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $97.72 / $134.90	Facility	26	$85.11	$97.72	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $562.34	Professional		$190.55	$234.42	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $190.55	Professional	26	$64.57	$89.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $151.36 / $338.84	Professional	TC	$125.89	$151.36	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $69.18	Professional	26	$60.26	$60.26	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $398.11	Professional		$186.21	$239.88	$398.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $125.89	Professional	26	$63.10	$77.62	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $162.18 / $263.03	Professional	TC	$125.89	$162.18	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $537.03	Professional		$208.93	$309.03	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $97.72 / $165.96	Professional	26	$64.57	$97.72	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $354.81	Professional	TC	$138.04	$204.17	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $512.86 / $1,148.15	Professional		$234.42	$512.86	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $144.54	Professional	26	$69.18	$85.11	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $416.87 / $1,023.29	Professional	TC	$158.49	$416.87	$1,023.29