Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $79.43 / $100.00	Facility	26	$72.44	$79.43	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $1,778.28	Professional		$114.82	$181.97	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $190.55 / $851.14	Professional	26	$57.54	$190.55	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $138.04	Professional	TC	$53.70	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $190.55	Professional		$91.20	$95.50	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $87.10	Professional	26	$45.71	$61.66	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $316.23	Professional		$154.88	$186.21	$316.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $81.28 / $134.90	Professional	26	$67.61	$81.28	$134.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $107.15 / $190.55	Professional	TC	$87.10	$107.15	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $147.91	Professional		$61.66	$79.43	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $346.74	Professional		$144.54	$204.17	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $138.04	Professional	26	$66.07	$83.18	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $123.03 / $194.98	Professional	TC	$75.86	$123.03	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $269.15	Professional		$120.23	$158.49	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $112.20	Professional	26	$56.23	$69.18	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $154.88	Professional	TC	$61.66	$87.10	$154.88