Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.63 / $98.63 / $122.07	Facility	26	$98.63	$98.63	$122.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $177.88 / $298.29	Professional		$164.19	$177.88	$298.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.45 / $100.83 / $162.41	Professional	26	$94.45	$100.83	$162.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.54 / $74.06 / $88.59	Professional	TC	$65.54	$74.06	$88.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $198.38 / $238.05	Professional		$147.59	$198.38	$238.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.48 / $133.97 / $161.06	Professional	26	$89.48	$133.97	$161.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $184.41 / $292.89	Professional		$143.31	$184.41	$292.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.08 / $106.47 / $169.11	Professional	26	$84.08	$106.47	$169.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.23 / $77.93 / $123.78	Professional	TC	$59.23	$77.93	$123.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $114.84 / $198.38	Professional		$65.61	$114.84	$198.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.61 / $224.92 / $376.90	Professional		$177.61	$224.92	$376.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.80 / $131.43 / $222.14	Professional	26	$106.80	$131.43	$222.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.93 / $95.67 / $157.82	Professional	TC	$68.93	$95.67	$157.82
United Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $205.00 / $330.57	Professional		$160.34	$205.00	$330.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.27 / $116.67 / $190.94	Professional	26	$92.27	$116.67	$190.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.09 / $84.63 / $141.03	Professional	TC	$70.09	$84.63	$141.03