Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $48.98 / $67.61	Facility	26	$44.67	$48.98	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $630.96	Professional		$208.93	$281.84	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $56.23 / $95.50	Professional	26	$33.11	$56.23	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $416.87	Professional	TC	$173.78	$234.42	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $363.08	Professional		$186.21	$204.17	$363.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $52.48	Professional	26	$28.18	$41.69	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $323.59	Professional		$173.78	$181.97	$323.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $74.13	Professional	26	$38.02	$46.77	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $141.25 / $257.04	Professional	TC	$128.82	$141.25	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $234.42 / $316.23	Professional		$38.90	$234.42	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $446.68	Professional		$190.55	$239.88	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $83.18	Professional	26	$37.15	$48.98	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $257.04 / $407.38	Professional	TC	$147.91	$257.04	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $426.58	Professional		$169.82	$269.15	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $66.07	Professional	26	$33.88	$40.74	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $223.87 / $363.08	Professional	TC	$134.90	$223.87	$363.08