Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $138.04 / $173.78	Facility	26	$125.89	$138.04	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,548.82	Professional		$426.58	$575.44	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $162.18 / $338.84	Professional	26	$109.65	$162.18	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $416.87 / $831.76	Professional	TC	$302.00	$416.87	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Professional		$346.74	$346.74	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $147.91 / $199.53	Professional	26	$81.28	$147.91	$199.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	TC	$660.69	$660.69	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $891.25	Professional		$501.19	$575.44	$891.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $107.15 / $177.83	Professional	26	$97.72	$107.15	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $467.74 / $707.95	Professional	TC	$398.11	$467.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,548.82	Professional		$478.63	$851.14	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $144.54 / $257.04	Professional	26	$95.50	$144.54	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $676.08 / $1,288.25	Professional	TC	$363.08	$676.08	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,288.25	Professional		$501.19	$724.44	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $199.53	Professional	26	$95.50	$117.49	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $602.56 / $1,122.02	Professional	TC	$398.11	$602.56	$1,122.02