Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $151.36 / $173.78	Facility	26	$109.65	$151.36	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,445.44	Professional		$331.13	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $190.55 / $457.09	Professional	26	$104.71	$190.55	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $316.23 / $575.44	Professional	TC	$218.78	$316.23	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $436.52	Professional		$234.42	$269.15	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $199.53	Professional	26	$81.28	$102.33	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $933.25	Professional		$389.05	$602.56	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $165.96 / $257.04	Professional	26	$123.03	$165.96	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $436.52 / $676.08	Professional	TC	$269.15	$436.52	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $407.38	Professional		$114.82	$239.88	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,023.29 / $1,819.70	Professional		$346.74	$1,023.29	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $158.49 / $281.84	Professional	26	$95.50	$158.49	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $457.09 / $1,288.25	Professional	TC	$213.80	$457.09	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,230.27	Professional		$338.84	$537.03	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $223.87	Professional	26	$102.33	$128.82	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $363.08 / $1,000.00	Professional	TC	$229.09	$363.08	$1,000.00