Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.61 / $21.61 / $29.72	Facility	26	$21.61	$21.61	$29.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $199.07 / $211.13	Professional		$197.97	$199.07	$211.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.61 / $22.18 / $49.74	Professional	26	$21.61	$22.18	$49.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.36 / $177.56 / $189.20	Professional	TC	$176.36	$177.56	$189.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $21.56 / $29.59	Professional	26	$21.56	$21.56	$29.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $210.62 / $290.64	Professional		$181.25	$210.62	$290.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $21.55 / $29.73	Professional	26	$19.39	$21.55	$29.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $161.86 / $189.08 / $260.93	Professional	TC	$161.86	$189.08	$260.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $191.58 / $255.03	Professional		$22.91	$191.58	$255.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.91 / $300.68 / $490.43	Professional		$262.91	$300.68	$490.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $30.73 / $50.77	Professional	26	$26.77	$30.73	$50.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.93 / $269.95 / $439.66	Professional	TC	$235.93	$269.95	$439.66
United Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $251.52 / $428.79	Professional		$220.03	$251.52	$428.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.67 / $26.32 / $43.95	Professional	26	$21.67	$26.32	$43.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.26 / $222.89 / $383.32	Professional	TC	$189.26	$222.89	$383.32