Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.37 / $96.19 / $125.36	Facility	26	$84.37	$96.19	$125.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.27 / $275.64 / $448.62	Professional		$238.27	$275.64	$448.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.51 / $86.09 / $176.46	Professional	26	$74.51	$86.09	$176.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $209.79 / $362.50	Professional	TC	$157.38	$209.79	$362.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $101.47 / $109.74	Professional		$101.47	$101.47	$109.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.32 / $70.01 / $114.98	Professional	26	$61.32	$70.01	$114.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $378.78 / $568.16	Professional		$303.02	$378.78	$568.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.60 / $114.50 / $163.27	Professional	26	$91.60	$114.50	$163.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.42 / $264.27 / $396.42	Professional	TC	$211.42	$264.27	$396.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $210.54 / $329.78	Professional		$80.48	$210.54	$329.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $537.46 / $917.09	Professional		$271.02	$537.46	$917.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.43 / $108.28 / $182.22	Professional	26	$78.43	$108.28	$182.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.70 / $412.13 / $725.00	Professional	TC	$189.70	$412.13	$725.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $435.36 / $746.33	Professional		$262.83	$435.36	$746.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.87 / $94.65 / $170.41	Professional	26	$77.87	$94.65	$170.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.29 / $338.38 / $626.28	Professional	TC	$187.29	$338.38	$626.28