Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.42 / $86.42 / $133.22	Facility	26	$86.42	$86.42	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.87 / $335.89 / $475.00	Professional		$282.87	$335.89	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $100.98 / $140.00	Professional	26	$85.00	$100.98	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.98 / $232.93 / $340.00	Professional	TC	$195.98	$232.93	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.77 / $62.77 / $62.77	Professional	26	$62.77	$62.77	$62.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.59 / $457.71 / $709.45	Professional		$332.59	$457.71	$709.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.87 / $124.90 / $177.35	Professional	26	$95.87	$124.90	$177.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.71 / $332.81 / $515.85	Professional	TC	$236.71	$332.81	$515.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $217.19 / $340.97	Professional		$83.76	$217.19	$340.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.85 / $618.23 / $1,143.85	Professional		$274.85	$618.23	$1,143.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.51 / $115.32 / $200.22	Professional	26	$80.51	$115.32	$200.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.56 / $480.49 / $925.00	Professional	TC	$191.56	$480.49	$925.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.29 / $448.43 / $857.66	Professional		$284.29	$448.43	$857.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.20 / $96.98 / $187.66	Professional	26	$80.20	$96.98	$187.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.80 / $343.21 / $759.04	Professional	TC	$206.80	$343.21	$759.04