Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.79 / $77.79 / $119.65	Facility	26	$77.79	$77.79	$119.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $258.74 / $403.84	Professional		$211.09	$258.74	$403.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $77.79 / $116.31	Professional	26	$65.95	$77.79	$116.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $169.51 / $314.49	Professional	TC	$143.21	$169.51	$314.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $304.85 / $325.17	Professional		$167.20	$304.85	$325.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $60.76 / $106.20	Professional	26	$56.35	$60.76	$106.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.54 / $358.50 / $515.00	Professional		$264.54	$358.50	$515.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.54 / $93.50 / $141.60	Professional	26	$74.54	$93.50	$141.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $265.00 / $376.30	Professional	TC	$190.00	$265.00	$376.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $165.54 / $274.36	Professional		$74.34	$165.54	$274.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $385.54 / $711.21	Professional		$219.48	$385.54	$711.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.40 / $95.66 / $164.58	Professional	26	$68.40	$95.66	$164.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.21 / $300.93 / $533.57	Professional	TC	$144.21	$300.93	$533.57
United Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $324.63 / $514.61	Professional		$221.61	$324.63	$514.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.28 / $83.27 / $150.07	Professional	26	$67.28	$83.27	$150.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.24 / $237.95 / $394.31	Professional	TC	$150.24	$237.95	$394.31