Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $66.07	Facility	26	$56.23	$56.23	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $281.84	Professional		$125.89	$154.88	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $48.98 / $93.33	Professional	26	$39.81	$48.98	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $162.18	Professional	TC	$85.11	$107.15	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $63.10	Professional	26	$31.62	$54.95	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $389.05	Professional		$120.23	$263.03	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $114.82	Professional	26	$44.67	$75.86	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $186.21 / $281.84	Professional	TC	$70.79	$186.21	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $371.54	Professional		$141.25	$239.88	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $61.66 / $102.33	Professional	26	$42.66	$61.66	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $141.25 / $234.42	Professional	TC	$89.13	$141.25	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $281.84	Professional		$123.03	$165.96	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $87.10	Professional	26	$39.81	$51.29	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $109.65 / $204.17	Professional	TC	$79.43	$109.65	$204.17