Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.32 / $39.11 / $57.85	Facility	26	$34.32	$39.11	$57.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $277.49 / $344.95	Professional		$256.58	$277.49	$344.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $35.56 / $71.17	Professional	26	$34.32	$35.56	$71.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $240.08 / $256.93	Professional	TC	$218.71	$240.08	$256.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $212.44 / $212.44	Professional		$212.44	$212.44	$212.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.39 / $49.22 / $51.35	Professional	26	$27.39	$49.22	$51.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.88 / $196.88 / $279.56	Professional		$196.88	$196.88	$279.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.88 / $51.10 / $70.51	Professional	26	$40.88	$51.10	$70.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.78 / $145.78 / $218.67	Professional	TC	$145.78	$145.78	$218.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $265.55 / $345.22	Professional		$35.94	$265.55	$345.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.32 / $294.79 / $590.29	Professional		$219.32	$294.79	$590.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $52.01 / $89.03	Professional	26	$42.24	$52.01	$89.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.03 / $229.21 / $508.15	Professional	TC	$176.03	$229.21	$508.15
United Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $327.63 / $558.02	Professional		$231.94	$327.63	$558.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $41.98 / $69.79	Professional	26	$36.25	$41.98	$69.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.69 / $303.20 / $488.23	Professional	TC	$195.69	$303.20	$488.23