Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.19 / $71.19 / $109.48	Facility	26	$71.19	$71.19	$109.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.37 / $418.98 / $586.04	Professional		$336.37	$418.98	$586.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.19 / $90.26 / $145.65	Professional	26	$68.19	$90.26	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $329.38 / $421.82	Professional	TC	$259.35	$329.38	$421.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $556.40 / $556.40 / $556.40	Professional		$556.40	$556.40	$556.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $77.73 / $97.17	Professional	26	$51.57	$77.73	$97.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.94 / $561.17 / $841.77	Professional		$448.94	$561.17	$841.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.68 / $114.50 / $162.59	Professional	26	$90.68	$114.50	$162.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $357.34 / $446.68 / $670.02	Professional	TC	$357.34	$446.68	$670.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $260.51 / $392.09	Professional		$68.02	$260.51	$392.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.45 / $933.33 / $1,405.32	Professional		$329.45	$933.33	$1,405.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.22 / $104.40 / $187.50	Professional	26	$67.22	$104.40	$187.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.04 / $835.34 / $1,158.50	Professional	TC	$256.04	$835.34	$1,158.50
United Facility/Professional Professional Modifier Low / Median / High Price $346.39 / $625.44 / $1,132.36	Professional		$346.39	$625.44	$1,132.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $89.07 / $157.53	Professional	26	$70.81	$89.07	$157.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.70 / $482.16 / $950.57	Professional	TC	$273.70	$482.16	$950.57