Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $131.83 / $165.96	Facility	26	$102.33	$131.83	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,445.44	Professional		$346.74	$512.86	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $173.78 / $380.19	Professional	26	$100.00	$173.78	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $758.58	Professional	TC	$245.47	$338.84	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $389.05	Professional		$251.19	$302.00	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $190.55	Professional	26	$75.86	$100.00	$190.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	TC	$436.52	$436.52	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $851.14	Professional		$426.58	$549.54	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $114.82 / $165.96	Professional	26	$95.50	$114.82	$165.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $446.68 / $691.83	Professional	TC	$316.23	$446.68	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $269.15 / $426.58	Professional		$107.15	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $1,380.38	Professional		$338.84	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $134.90 / $245.47	Professional	26	$89.13	$134.90	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $478.63 / $1,174.90	Professional	TC	$239.88	$478.63	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,230.27	Professional		$363.08	$588.84	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $112.20 / $190.55	Professional	26	$91.20	$112.20	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $1,047.13	Professional	TC	$257.04	$426.58	$1,047.13