Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $194.98 / $251.19	Facility	26	$181.97	$194.98	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $537.03	Professional		$245.47	$302.00	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $162.18 / $478.63	Professional	26	$131.83	$162.18	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $134.90 / $218.78	Professional	TC	$112.20	$134.90	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $234.42	Professional		$218.78	$218.78	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $158.49 / $190.55	Professional	26	$114.82	$158.49	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $645.65	Professional		$223.87	$407.38	$645.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $218.78 / $338.84	Professional	26	$123.03	$218.78	$338.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $186.21 / $295.12	Professional	TC	$100.00	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $575.44	Professional		$275.42	$302.00	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $199.53 / $338.84	Professional	26	$162.18	$199.53	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $169.82 / $275.42	Professional	TC	$134.90	$169.82	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $501.19	Professional		$257.04	$323.59	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $173.78 / $269.15	Professional	26	$138.04	$173.78	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $151.36 / $234.42	Professional	TC	$117.49	$151.36	$234.42