Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.81 / $86.81 / $133.27	Facility	26	$86.81	$86.81	$133.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.28 / $439.25 / $566.41	Professional		$353.28	$439.25	$566.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $110.12 / $162.00	Professional	26	$85.00	$110.12	$162.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $330.98 / $401.75	Professional	TC	$259.35	$330.98	$401.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $274.17 / $274.17	Professional		$260.33	$274.17	$274.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $94.64 / $115.24	Professional	26	$62.94	$94.64	$115.24
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 $91.60 / $114.50 / $171.85	Professional	26	$91.60	$114.50	$171.85
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 $83.79 / $285.26 / $427.40	Professional		$83.79	$285.26	$427.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.25 / $97.25 / $97.25	Facility	26	$97.25	$97.25	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $933.33 / $1,405.32	Professional		$346.25	$933.33	$1,405.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.70 / $111.87 / $188.12	Professional	26	$80.70	$111.87	$188.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.58 / $835.34 / $1,158.50	Professional	TC	$257.58	$835.34	$1,158.50
United Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $633.44 / $1,148.31	Professional		$364.00	$633.44	$1,148.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.54 / $92.39 / $167.85	Professional	26	$78.54	$92.39	$167.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.66 / $518.24 / $957.26	Professional	TC	$275.66	$518.24	$957.26