Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $91.20 / $112.20	Facility	26	$70.79	$91.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,023.29	Professional		$338.84	$478.63	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $275.42	Professional	26	$70.79	$125.89	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $707.95	Professional	TC	$263.03	$338.84	$707.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $128.82	Professional	26	$51.29	$64.57	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $114.82 / $177.83	Professional	26	$85.11	$114.82	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $467.74 / $691.83	Professional	TC	$323.59	$467.74	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $281.84 / $407.38	Professional		$70.79	$281.84	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $977.24 / $1,737.80	Professional		$354.81	$977.24	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $104.71 / $190.55	Professional	26	$63.10	$104.71	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $562.34 / $1,230.27	Professional	TC	$257.04	$562.34	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,148.15	Professional		$346.74	$630.96	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $89.13 / $144.54	Professional	26	$69.18	$89.13	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $512.86 / $1,023.29	Professional	TC	$275.42	$512.86	$1,023.29