Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.43 / $259.44 / $300.39	Professional		$227.43	$259.44	$300.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $37.29 / $45.19	Professional	26	$34.34	$37.29	$45.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.82 / $218.02 / $258.50	Professional	TC	$191.82	$218.02	$258.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $271.76 / $271.76	Professional		$205.01	$271.76	$271.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $33.59 / $47.26	Professional	26	$33.59	$33.59	$47.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.46 / $246.72 / $340.47	Professional		$192.46	$246.72	$340.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.03 / $36.29 / $50.08	Professional	26	$29.03	$36.29	$50.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.27 / $210.43 / $290.39	Professional	TC	$162.27	$210.43	$290.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $205.43 / $278.75	Professional		$35.57	$205.43	$278.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $301.16 / $425.51	Professional		$239.96	$301.16	$425.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.36 / $45.21 / $64.95	Professional	26	$36.36	$45.21	$64.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.06 / $254.04 / $364.18	Professional	TC	$203.06	$254.04	$364.18
United Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $285.19 / $427.12	Professional		$230.99	$285.19	$427.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $42.71 / $64.93	Professional	26	$33.75	$42.71	$64.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.41 / $242.26 / $363.10	Professional	TC	$196.41	$242.26	$363.10