Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.06 / $123.06 / $165.95	Facility	26	$123.06	$123.06	$165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $212.72 / $361.44	Professional		$198.07	$212.72	$361.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.07 / $125.80 / $202.34	Professional	26	$118.07	$125.80	$202.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.94 / $85.04 / $102.67	Professional	TC	$74.94	$85.04	$102.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $266.77 / $308.24	Professional		$190.55	$266.77	$308.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.61 / $151.66 / $188.08	Professional	26	$111.61	$151.66	$188.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $223.14 / $354.40	Professional		$173.79	$223.14	$354.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.05 / $132.88 / $211.07	Professional	26	$105.05	$132.88	$211.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.73 / $90.24 / $143.32	Professional	TC	$68.73	$90.24	$143.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $143.47 / $238.19	Professional		$74.06	$143.47	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $272.42 / $452.55	Professional		$213.75	$272.42	$452.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.47 / $164.14 / $276.88	Professional	26	$133.47	$164.14	$276.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.77 / $110.88 / $180.54	Professional	TC	$77.77	$110.88	$180.54
United Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $246.63 / $388.60	Professional		$189.15	$246.63	$388.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.13 / $143.13 / $229.89	Professional	26	$114.13	$143.13	$229.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.27 / $101.02 / $162.50	Professional	TC	$80.27	$101.02	$162.50