Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $74.31	Facility	26	$51.84	$51.84	$74.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $162.22 / $179.96	Professional		$156.47	$162.22	$179.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $52.52 / $105.00	Professional	26	$51.84	$52.52	$105.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.52 / $104.64 / $125.34	Professional	TC	$94.52	$104.64	$125.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.85 / $51.85 / $71.23	Professional	26	$51.85	$51.85	$71.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $219.15 / $311.19	Professional		$175.32	$219.15	$311.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.56 / $75.70 / $103.70	Professional	26	$60.56	$75.70	$103.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.76 / $143.44 / $203.69	Professional	TC	$114.76	$143.44	$203.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $133.88 / $206.64	Professional		$59.75	$133.88	$206.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.16 / $281.67 / $399.80	Professional		$203.16	$281.67	$399.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.05 / $75.69 / $127.86	Professional	26	$65.05	$75.69	$127.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.22 / $192.78 / $266.32	Professional	TC	$126.22	$192.78	$266.32
United Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $202.02 / $340.26	Professional		$162.80	$202.02	$340.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $64.41 / $108.49	Professional	26	$52.43	$64.41	$108.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.34 / $134.57 / $216.55	Professional	TC	$107.34	$134.57	$216.55