Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.33 / $56.33 / $56.33	Facility	26	$56.33	$56.33	$56.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $115.34 / $192.32	Professional		$106.75	$115.34	$192.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.11 / $59.74 / $72.13	Professional	26	$54.11	$59.74	$72.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.41 / $56.06 / $125.43	Professional	TC	$52.41	$56.06	$125.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $77.18 / $85.46	Professional		$77.18	$77.18	$85.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $249.50 / $351.81	Professional		$156.36	$249.50	$351.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.87 / $82.74 / $119.47	Professional	26	$58.87	$82.74	$119.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.31 / $166.80 / $232.33	Professional	TC	$88.31	$166.80	$232.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $67.28 / $133.54	Professional		$51.75	$67.28	$133.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $208.00 / $326.51	Professional		$119.69	$208.00	$326.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.65 / $72.72 / $135.59	Professional	26	$58.65	$72.72	$135.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.14 / $114.71 / $187.87	Professional	TC	$57.14	$114.71	$187.87
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $159.80 / $259.72	Professional		$106.83	$159.80	$259.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $68.13 / $105.48	Professional	26	$54.95	$68.13	$105.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.45 / $83.76 / $158.19	Professional	TC	$52.45	$83.76	$158.19