Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.12 / $99.12 / $161.50	Facility	26	$99.12	$99.12	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.48 / $358.78 / $481.48	Professional		$341.48	$358.78	$481.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $105.69 / $139.76	Professional	26	$99.12	$105.69	$139.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.83 / $242.35 / $326.54	Professional	TC	$241.83	$242.35	$326.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.70 / $390.70 / $390.70	Professional		$390.70	$390.70	$390.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.44 / $349.30 / $482.03	Professional		$279.44	$349.30	$482.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.39 / $129.24 / $178.35	Professional	26	$103.39	$129.24	$178.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.04 / $220.06 / $303.68	Professional	TC	$176.04	$220.06	$303.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $242.50 / $398.36	Professional		$101.53	$242.50	$398.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.24 / $377.02 / $727.76	Professional		$298.24	$377.02	$727.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.03 / $132.44 / $223.56	Professional	26	$105.03	$132.44	$223.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.86 / $252.39 / $485.07	Professional	TC	$184.86	$252.39	$485.07
United Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $387.85 / $721.13	Professional		$292.81	$387.85	$721.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.43 / $129.35 / $208.78	Professional	26	$103.43	$129.35	$208.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.84 / $243.75 / $414.43	Professional	TC	$186.84	$243.75	$414.43