Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.43 / $74.43 / $88.07	Facility	26	$74.43	$74.43	$88.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $214.06 / $304.64	Professional		$183.78	$214.06	$304.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.00 / $79.61 / $120.95	Professional	26	$71.00	$79.61	$120.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.34 / $136.61 / $177.59	Professional	TC	$114.34	$136.61	$177.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $277.83 / $277.83	Professional		$277.83	$277.83	$277.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $88.39 / $95.04	Professional	26	$70.80	$88.39	$95.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $149.30 / $206.03	Professional		$126.90	$149.30	$206.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.58 / $63.90 / $88.18	Professional	26	$52.58	$63.90	$88.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.59 / $85.40 / $117.85	Professional	TC	$72.59	$85.40	$117.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $118.00 / $209.37	Professional		$67.31	$118.00	$209.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $227.38 / $389.58	Professional		$166.67	$227.38	$389.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.28 / $95.44 / $148.16	Professional	26	$69.28	$95.44	$148.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.10 / $135.61 / $242.27	Professional	TC	$86.10	$135.61	$242.27
United Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $214.32 / $395.51	Professional		$160.56	$214.32	$395.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.36 / $82.58 / $149.49	Professional	26	$63.36	$82.58	$149.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.94 / $133.88 / $232.40	Professional	TC	$92.94	$133.88	$232.40