Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.40 / $40.40 / $59.22	Facility	26	$40.40	$40.40	$59.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $252.29 / $431.79	Professional		$184.06	$252.29	$431.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $40.40 / $78.97	Professional	26	$32.20	$40.40	$78.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $216.49 / $237.65	Professional	TC	$140.87	$216.49	$237.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $204.71 / $240.84	Professional		$204.71	$204.71	$240.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.03 / $43.80 / $56.06	Professional	26	$28.03	$43.80	$56.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $175.37 / $271.82	Professional		$158.88	$175.37	$271.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.20 / $46.50 / $64.17	Professional	26	$37.20	$46.50	$64.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.49 / $128.87 / $206.19	Professional	TC	$122.49	$128.87	$206.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $226.38 / $308.70	Professional		$37.22	$226.38	$308.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $262.33 / $533.79	Professional		$184.81	$262.33	$533.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.09 / $50.78 / $83.53	Professional	26	$38.09	$50.78	$83.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.51 / $213.46 / $459.68	Professional	TC	$146.51	$213.46	$459.68
United Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $274.51 / $489.05	Professional		$168.73	$274.51	$489.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $41.32 / $71.06	Professional	26	$34.01	$41.32	$71.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.66 / $236.78 / $417.99	Professional	TC	$134.66	$236.78	$417.99