Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.87 / $70.87 / $108.97	Facility	26	$70.87	$70.87	$108.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $325.49 / $475.00	Professional		$272.08	$325.49	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.87 / $85.00 / $149.83	Professional	26	$70.87	$85.00	$149.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.21 / $239.06 / $340.00	Professional	TC	$199.21	$239.06	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.53 / $207.90 / $207.90	Professional		$197.53	$207.90	$207.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $64.48 / $96.72	Professional	26	$52.43	$64.48	$96.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.18 / $337.54 / $523.17	Professional		$321.18	$337.54	$523.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.45 / $90.30 / $135.44	Professional	26	$72.45	$90.30	$135.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $242.21 / $247.24 / $395.58	Professional	TC	$242.21	$247.24	$395.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $210.64 / $324.01	Professional		$67.70	$210.64	$324.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.86 / $550.55 / $963.72	Professional		$265.86	$550.55	$963.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.20 / $92.09 / $155.86	Professional	26	$66.20	$92.09	$155.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.16 / $425.89 / $835.17	Professional	TC	$197.16	$425.89	$835.17
United Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $407.24 / $687.29	Professional		$281.93	$407.24	$687.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $75.79 / $154.03	Professional	26	$64.42	$75.79	$154.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.72 / $316.89 / $555.21	Professional	TC	$213.72	$316.89	$555.21