Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $52.48 / $70.79	Facility	26	$37.15	$52.48	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $501.19	Professional		$229.09	$288.40	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $54.95 / $97.72	Professional	26	$34.67	$54.95	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $223.87 / $389.05	Professional	TC	$190.55	$223.87	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Professional		$190.55	$190.55	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $33.11 / $56.23	Professional	26	$29.51	$33.11	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $346.74	Professional		$204.17	$204.17	$346.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $89.13	Professional	26	$44.67	$56.23	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $162.18 / $257.04	Professional	TC	$151.36	$162.18	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $229.09 / $309.03	Professional		$39.81	$229.09	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $562.34	Professional		$229.09	$323.59	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $53.70 / $95.50	Professional	26	$46.77	$53.70	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $257.04 / $478.63	Professional	TC	$181.97	$257.04	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $501.19	Professional		$213.80	$295.12	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $75.86	Professional	26	$38.02	$46.77	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $426.58	Professional	TC	$173.78	$251.19	$426.58