Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.67 / $83.67 / $127.95	Facility	26	$83.67	$83.67	$127.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $330.94 / $475.00	Professional		$276.55	$330.94	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.78 / $87.80 / $140.00	Professional	26	$82.78	$87.80	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.05 / $228.71 / $340.00	Professional	TC	$192.05	$228.71	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $61.52 / $65.67	Professional	26	$61.52	$61.52	$65.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $438.48 / $679.64	Professional		$365.17	$438.48	$679.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.80 / $103.50 / $151.41	Professional	26	$82.80	$103.50	$151.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $334.98 / $519.21	Professional	TC	$285.00	$334.98	$519.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $209.50 / $332.73	Professional		$80.44	$209.50	$332.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.85 / $599.21 / $1,088.05	Professional		$274.85	$599.21	$1,088.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $108.87 / $181.40	Professional	26	$77.45	$108.87	$181.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.46 / $480.80 / $891.31	Professional	TC	$188.46	$480.80	$891.31
United Facility/Professional Professional Modifier Low / Median / High Price $290.72 / $497.56 / $843.83	Professional		$290.72	$497.56	$843.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.47 / $93.30 / $173.26	Professional	26	$75.47	$93.30	$173.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.90 / $345.19 / $691.25	Professional	TC	$205.90	$345.19	$691.25