Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.03 / $38.21 / $45.86	Facility	26	$36.03	$38.21	$45.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $158.82 / $323.00	Professional		$132.32	$158.82	$323.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.03 / $45.14 / $76.00	Professional	26	$36.03	$45.14	$76.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.29 / $109.01 / $178.34	Professional	TC	$96.29	$109.01	$178.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $113.68 / $142.75	Professional		$96.62	$113.68	$142.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $28.00 / $52.29	Professional	26	$27.76	$28.00	$52.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.43 / $95.71 / $146.55	Professional	TC	$83.43	$95.71	$146.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $224.21 / $305.37	Professional		$180.96	$224.21	$305.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $71.50 / $97.22	Professional	26	$53.85	$71.50	$97.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.76 / $154.69 / $208.84	Professional	TC	$123.76	$154.69	$208.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $127.62 / $184.72	Professional		$37.04	$127.62	$184.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $212.64 / $343.04	Professional		$158.59	$212.64	$343.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $63.55 / $100.79	Professional	26	$38.81	$63.55	$100.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.32 / $150.91 / $254.68	Professional	TC	$115.32	$150.91	$254.68
United Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $200.54 / $313.68	Professional		$142.72	$200.54	$313.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $56.33 / $83.27	Professional	26	$34.92	$56.33	$83.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.21 / $147.24 / $224.77	Professional	TC	$110.21	$147.24	$224.77