Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.58 / $53.58 / $79.19	Facility	26	$53.58	$53.58	$79.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $98.03 / $105.30	Professional		$85.28	$98.03	$105.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $46.83 / $53.58	Professional	26	$43.42	$46.83	$53.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $44.73 / $61.87	Professional	TC	$39.04	$44.73	$61.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.49 / $37.49 / $56.23	Professional	26	$37.49	$37.49	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $180.90 / $280.39	Professional		$95.55	$180.90	$280.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.32 / $62.90 / $86.80	Professional	26	$50.32	$62.90	$86.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.92 / $118.00 / $188.80	Professional	TC	$43.92	$118.00	$188.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $58.58 / $117.44	Professional		$42.44	$58.58	$117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $211.60 / $400.32	Professional		$110.74	$211.60	$400.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.42 / $67.34 / $112.51	Professional	26	$51.42	$67.34	$112.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.74 / $153.29 / $301.16	Professional	TC	$51.74	$153.29	$301.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $116.06 / $238.29	Professional		$86.99	$116.06	$238.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $56.25 / $104.19	Professional	26	$45.53	$56.25	$104.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.94 / $58.26 / $162.85	Professional	TC	$39.94	$58.26	$162.85