Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.69 / $58.69 / $90.20	Facility	26	$58.69	$58.69	$90.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $248.27 / $384.97	Professional		$218.08	$248.27	$384.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.68 / $60.34 / $76.11	Professional	26	$55.68	$60.34	$76.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.65 / $187.20 / $329.29	Professional	TC	$162.65	$187.20	$329.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $198.25 / $198.25	Professional		$188.20	$198.25	$198.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.66 / $43.28 / $75.73	Professional	26	$31.66	$43.28	$75.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.39 / $342.31 / $513.46	Professional		$252.39	$342.31	$513.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.39 / $78.90 / $113.56	Professional	26	$62.39	$78.90	$113.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.38 / $263.41 / $395.11	Professional	TC	$197.38	$263.41	$395.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $211.16 / $309.61	Professional		$56.04	$211.16	$309.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $434.52 / $760.41	Professional		$247.31	$434.52	$760.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.47 / $76.09 / $133.60	Professional	26	$54.47	$76.09	$133.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.50 / $351.79 / $632.49	Professional	TC	$191.50	$351.79	$632.49
United Facility/Professional Professional Modifier Low / Median / High Price $243.96 / $356.63 / $561.26	Professional		$243.96	$356.63	$561.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.07 / $62.44 / $115.81	Professional	26	$53.07	$62.44	$115.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.90 / $272.89 / $512.79	Professional	TC	$183.90	$272.89	$512.79