Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $89.13 / $104.71	Facility	26	$58.88	$89.13	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $478.63	Professional		$263.03	$295.12	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $151.36	Professional	26	$56.23	$67.61	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $239.88 / $389.05	Professional	TC	$208.93	$239.88	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $91.20	Professional	26	$47.86	$47.86	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $416.87	Professional		$245.47	$281.84	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $123.03	Professional	26	$63.10	$77.62	$123.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $204.17 / $288.40	Professional	TC	$169.82	$204.17	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $660.69	Professional		$331.13	$398.11	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $85.11 / $141.25	Professional	26	$72.44	$85.11	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $316.23 / $512.86	Professional	TC	$257.04	$316.23	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $616.60	Professional		$302.00	$380.19	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $131.83	Professional	26	$60.26	$85.11	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $302.00 / $489.78	Professional	TC	$239.88	$302.00	$489.78