Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $102.33 / $131.83	Facility	26	$85.11	$102.33	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $891.25	Professional		$251.19	$354.81	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $288.40	Professional	26	$75.86	$102.33	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $426.58	Professional	TC	$165.96	$218.78	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $371.54	Professional		$223.87	$245.47	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $67.61 / $131.83	Professional	26	$61.66	$67.61	$131.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $165.96 / $398.11	Professional	TC	$162.18	$165.96	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $602.56	Professional		$302.00	$380.19	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $114.82 / $181.97	Professional	26	$89.13	$114.82	$181.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $263.03 / $416.87	Professional	TC	$208.93	$263.03	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $346.74	Professional		$85.11	$218.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $537.03 / $891.25	Professional		$134.90	$537.03	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $190.55	Professional	26	$72.44	$109.65	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $371.54 / $724.44	Professional	TC	$186.21	$371.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $741.31	Professional		$269.15	$426.58	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $154.88	Professional	26	$75.86	$91.20	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $309.03 / $616.60	Professional	TC	$186.21	$309.03	$616.60