Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.31 / $22.31 / $26.35	Facility	26	$22.31	$22.31	$26.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $153.03 / $295.31	Professional		$144.29	$153.03	$295.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $24.31 / $44.17	Professional	26	$22.08	$24.31	$44.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.97 / $129.36 / $213.44	Professional	TC	$121.97	$129.36	$213.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $151.50 / $151.50	Professional		$151.50	$151.50	$151.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $24.44 / $25.72	Professional	26	$17.12	$24.44	$25.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $160.00 / $220.80	Professional		$136.00	$160.00	$220.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $39.27 / $56.58	Professional	26	$20.21	$39.27	$56.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.30 / $118.00 / $176.64	Professional	TC	$100.30	$118.00	$176.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $128.52 / $181.44	Professional		$22.50	$128.52	$181.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $205.67 / $341.95	Professional		$144.16	$205.67	$341.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $30.40 / $50.90	Professional	26	$23.58	$30.40	$50.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.64 / $176.18 / $300.72	Professional	TC	$122.64	$176.18	$300.72
United Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $198.15 / $321.51	Professional		$145.04	$198.15	$321.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $27.79 / $41.69	Professional	26	$21.70	$27.79	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.08 / $164.16 / $282.52	Professional	TC	$123.08	$164.16	$282.52