Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $87.09	Facility	26	$51.82	$51.82	$87.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.89 / $295.42 / $349.32	Professional		$291.89	$295.42	$349.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $51.91 / $85.29	Professional	26	$50.40	$51.91	$85.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.08 / $241.59 / $298.91	Professional	TC	$240.08	$241.59	$298.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $51.53 / $51.53	Professional	26	$51.53	$51.53	$51.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $534.13 / $737.09	Professional		$319.91	$534.13	$737.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.22 / $86.86 / $119.86	Professional	26	$54.22	$86.86	$119.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.70 / $447.27 / $617.23	Professional	TC	$265.70	$447.27	$617.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $277.39 / $367.50	Professional		$54.75	$277.39	$367.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.48 / $447.84 / $731.34	Professional		$392.48	$447.84	$731.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.93 / $74.15 / $122.54	Professional	26	$63.93	$74.15	$122.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.00 / $379.16 / $608.80	Professional	TC	$323.00	$379.16	$608.80
United Facility/Professional Professional Modifier Low / Median / High Price $317.75 / $371.89 / $635.53	Professional		$317.75	$371.89	$635.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.93 / $63.28 / $109.31	Professional	26	$50.93	$63.28	$109.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.63 / $318.50 / $528.02	Professional	TC	$265.63	$318.50	$528.02