Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.09 / $86.09 / $132.72	Facility	26	$86.09	$86.09	$132.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $331.93 / $475.00	Professional		$268.27	$331.93	$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 $182.26 / $230.95 / $335.00	Professional	TC	$182.26	$230.95	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.54 / $78.53 / $82.01	Professional	26	$62.54	$78.53	$82.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $448.61 / $695.34	Professional		$328.42	$448.61	$695.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $115.80 / $169.81	Professional	26	$92.23	$115.80	$169.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.24 / $332.81 / $515.85	Professional	TC	$232.24	$332.81	$515.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $194.58 / $334.94	Professional		$83.44	$194.58	$334.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.38 / $606.01 / $1,103.03	Professional		$272.38	$606.01	$1,103.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.20 / $112.97 / $186.60	Professional	26	$80.20	$112.97	$186.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.15 / $477.64 / $889.79	Professional	TC	$187.15	$477.64	$889.79
United Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $471.23 / $846.25	Professional		$283.88	$471.23	$846.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $91.80 / $169.24	Professional	26	$77.62	$91.80	$169.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.46 / $336.16 / $876.76	Professional	TC	$198.46	$336.16	$876.76