Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.45 / $35.45 / $42.34	Facility	26	$35.45	$35.45	$42.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.04 / $185.94 / $265.68	Professional		$180.04	$185.94	$265.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $35.90 / $52.27	Professional	26	$21.46	$35.90	$52.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.59 / $162.49 / $213.40	Professional	TC	$144.59	$162.49	$213.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $39.85 / $65.47	Professional	26	$21.26	$39.85	$65.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $230.20 / $316.98	Professional		$154.19	$230.20	$316.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.72 / $34.90 / $48.16	Professional	26	$21.72	$34.90	$48.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.47 / $195.30 / $263.64	Professional	TC	$132.47	$195.30	$263.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $150.86 / $220.53	Professional		$36.58	$150.86	$220.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $238.45 / $414.96	Professional		$179.67	$238.45	$414.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $37.04 / $74.72	Professional	26	$24.62	$37.04	$74.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.66 / $204.09 / $340.02	Professional	TC	$152.66	$204.09	$340.02
United Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $231.83 / $355.44	Professional		$182.93	$231.83	$355.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.01 / $38.29 / $65.67	Professional	26	$24.01	$38.29	$65.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.26 / $195.12 / $307.36	Professional	TC	$147.26	$195.12	$307.36