Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $46.00 / $56.40	Facility	26	$44.17	$46.00	$56.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $290.16 / $305.82	Professional		$288.11	$290.16	$305.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $45.97 / $90.00	Professional	26	$44.17	$45.97	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.84 / $245.57 / $351.90	Professional	TC	$243.84	$245.57	$351.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.25 / $35.25 / $35.25	Professional	26	$35.25	$35.25	$35.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $234.70 / $333.27	Professional		$216.38	$234.70	$333.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.88 / $66.09 / $89.23	Professional	26	$52.88	$66.09	$89.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.60 / $168.60 / $239.41	Professional	TC	$168.60	$168.60	$239.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $281.52 / $362.26	Professional		$50.72	$281.52	$362.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $347.80 / $683.99	Professional		$260.77	$347.80	$683.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $67.81 / $113.90	Professional	26	$55.02	$67.81	$113.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.64 / $271.58 / $567.91	Professional	TC	$203.64	$271.58	$567.91
United Facility/Professional Professional Modifier Low / Median / High Price $269.19 / $357.65 / $585.91	Professional		$269.19	$357.65	$585.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.96 / $54.34 / $89.83	Professional	26	$45.96	$54.34	$89.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.87 / $290.74 / $520.27	Professional	TC	$222.87	$290.74	$520.27