Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.10 / $36.59 / $40.99	Facility	26	$32.10	$36.59	$40.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.81 / $273.76 / $318.62	Professional		$269.81	$273.76	$318.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.10 / $33.02 / $72.56	Professional	26	$32.10	$33.02	$72.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.71 / $238.86 / $342.27	Professional	TC	$237.71	$238.86	$342.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $32.02 / $48.03	Professional	26	$25.62	$32.02	$48.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $334.71 / $461.89	Professional		$267.76	$334.71	$461.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.63 / $33.86 / $46.72	Professional	26	$28.63	$33.86	$46.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.96 / $297.45 / $410.49	Professional	TC	$237.96	$297.45	$410.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $251.00 / $338.26	Professional		$33.61	$251.00	$338.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.18 / $412.02 / $675.23	Professional		$356.18	$412.02	$675.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $45.83 / $76.20	Professional	26	$39.77	$45.83	$76.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.41 / $366.19 / $599.03	Professional	TC	$316.41	$366.19	$599.03
United Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $355.41 / $587.20	Professional		$300.39	$355.41	$587.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.85 / $39.79 / $65.28	Professional	26	$30.85	$39.79	$65.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $267.45 / $324.89 / $524.74	Professional	TC	$267.45	$324.89	$524.74