Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $47.86 / $63.10	Facility	26	$35.48	$47.86	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $123.03 / $288.40	Professional		$38.02	$123.03	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $57.54 / $107.15	Professional	26	$33.88	$57.54	$107.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.50 / $95.50 / $158.49	Professional	52	$95.50	$95.50	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $95.50 / $173.78	Professional	TC	$72.44	$95.50	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $141.25	Professional		$91.20	$97.72	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.90 / $61.66	Professional	26	$28.18	$30.90	$61.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $117.49	Professional	TC	$56.23	$72.44	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $213.80	Professional		$102.33	$138.04	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.02 / $61.66	Professional	26	$33.11	$38.02	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $154.88	Professional	TC	$67.61	$100.00	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $154.88	Professional		$38.90	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $263.03	Professional		$102.33	$158.49	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $79.43	Professional	26	$32.36	$48.98	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $112.20 / $181.97	Professional	TC	$74.13	$112.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $229.09	Professional		$114.82	$151.36	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $45.71 / $69.18	Professional	26	$35.48	$45.71	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $104.71 / $162.18	Professional	TC	$79.43	$104.71	$162.18