Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.53 / $64.53 / $95.67	Facility	26	$64.53	$64.53	$95.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $131.09 / $236.19	Professional		$115.29	$131.09	$236.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $64.53 / $683.15	Professional	26	$55.87	$64.53	$683.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.39 / $66.31 / $94.99	Professional	TC	$57.39	$66.31	$94.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $98.20 / $115.52	Professional		$98.20	$98.20	$115.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.29 / $70.76 / $84.92	Professional	26	$45.29	$70.76	$84.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $188.28 / $282.42	Professional		$150.62	$188.28	$282.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.28 / $81.59 / $112.60	Professional	26	$65.28	$81.59	$112.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.34 / $106.68 / $170.68	Professional	TC	$85.34	$106.68	$170.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $75.91 / $144.40	Professional		$58.91	$75.91	$144.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $216.37 / $384.65	Professional		$152.11	$216.37	$384.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.06 / $83.97 / $136.63	Professional	26	$67.06	$83.97	$136.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $139.00 / $245.56	Professional	TC	$78.84	$139.00	$245.56
United Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $161.04 / $266.68	Professional		$121.24	$161.04	$266.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $69.08 / $121.27	Professional	26	$56.52	$69.08	$121.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.24 / $86.78 / $167.84	Professional	TC	$61.24	$86.78	$167.84