Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $57.54 / $70.79	Facility	26	$43.65	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $457.09	Professional		$131.83	$204.17	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $69.18 / $131.83	Professional	26	$40.74	$69.18	$131.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $123.03 / $245.47	Professional	TC	$93.33	$123.03	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $213.80	Professional		$114.82	$128.82	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $66.07	Professional	26	$34.67	$39.81	$66.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $154.88	Professional	TC	$72.44	$93.33	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $263.03	Professional		$128.82	$169.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $75.86	Professional	26	$38.90	$46.77	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $123.03 / $190.55	Professional	TC	$89.13	$123.03	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $123.03 / $194.98	Professional		$50.12	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $331.13	Professional		$144.54	$199.53	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $60.26 / $100.00	Professional	26	$39.81	$60.26	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $141.25 / $234.42	Professional	TC	$95.50	$141.25	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $288.40	Professional		$144.54	$190.55	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $85.11	Professional	26	$43.65	$56.23	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $134.90 / $199.53	Professional	TC	$102.33	$134.90	$199.53