Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.51 / $86.51 / $132.82	Facility	26	$86.51	$86.51	$132.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $423.02 / $525.00	Professional		$341.97	$423.02	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $105.59 / $140.00	Professional	26	$85.00	$105.59	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $255.30 / $309.83 / $368.50	Professional	TC	$255.30	$309.83	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $102.12 / $139.62	Professional	26	$63.83	$102.12	$139.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.01 / $535.51 / $769.00	Professional		$378.01	$535.51	$769.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.32 / $115.40 / $171.16	Professional	26	$92.32	$115.40	$171.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.00 / $420.11 / $609.00	Professional	TC	$300.00	$420.11	$609.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $271.67 / $411.72	Professional		$83.50	$271.67	$411.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.58 / $598.08 / $1,092.16	Professional		$332.58	$598.08	$1,092.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.42 / $112.53 / $188.93	Professional	26	$80.42	$112.53	$188.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.87 / $480.69 / $925.00	Professional	TC	$248.87	$480.69	$925.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $485.85 / $810.91	Professional		$351.12	$485.85	$810.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.75 / $100.10 / $170.08	Professional	26	$79.75	$100.10	$170.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.27 / $392.78 / $658.49	Professional	TC	$258.27	$392.78	$658.49