Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.20 / $74.20 / $99.32	Facility	26	$74.20	$74.20	$99.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $135.19 / $232.68	Professional		$125.40	$135.19	$232.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.68 / $76.39 / $122.11	Professional	26	$70.68	$76.39	$122.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.20 / $57.94 / $68.64	Professional	TC	$51.20	$57.94	$68.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $182.01 / $195.79	Professional		$112.84	$182.01	$195.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.73 / $90.34 / $109.67	Professional	26	$69.73	$90.34	$109.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $140.85 / $221.88	Professional		$108.80	$140.85	$221.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $79.45 / $126.21	Professional	26	$62.89	$79.45	$126.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.92 / $60.23 / $95.67	Professional	TC	$45.92	$60.23	$95.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $83.11 / $151.68	Professional		$51.52	$83.11	$151.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $170.84 / $288.17	Professional		$135.75	$170.84	$288.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.17 / $98.68 / $166.26	Professional	26	$80.17	$98.68	$166.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.20 / $74.12 / $122.82	Professional	TC	$54.20	$74.12	$122.82
United Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $153.75 / $245.97	Professional		$121.35	$153.75	$245.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.54 / $85.99 / $142.66	Professional	26	$67.54	$85.99	$142.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.69 / $68.54 / $107.71	Professional	TC	$54.69	$68.54	$107.71