Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.09 / $43.09 / $53.42	Facility	26	$43.09	$43.09	$53.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $250.54 / $303.52	Professional		$206.63	$250.54	$303.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.95 / $45.70 / $63.32	Professional	26	$42.95	$45.70	$63.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $205.71 / $250.33	Professional	TC	$162.49	$205.71	$250.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $33.34 / $66.27	Professional	26	$24.82	$33.34	$66.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $269.50 / $371.91	Professional		$176.51	$269.50	$371.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $62.16 / $84.51	Professional	26	$44.28	$62.16	$84.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.22 / $207.00 / $285.66	Professional	TC	$132.22	$207.00	$285.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $200.45 / $293.39	Professional		$43.75	$200.45	$293.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $317.23 / $569.20	Professional		$229.18	$317.23	$569.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.32 / $55.74 / $98.96	Professional	26	$45.32	$55.74	$98.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.96 / $261.14 / $472.82	Professional	TC	$172.96	$261.14	$472.82
United Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $302.68 / $470.70	Professional		$232.47	$302.68	$470.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.67 / $50.55 / $80.48	Professional	26	$41.67	$50.55	$80.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.79 / $256.39 / $385.92	Professional	TC	$194.79	$256.39	$385.92