Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.58 / $130.06 / $161.09	Facility	26	$82.58	$130.06	$161.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.43 / $429.99 / $622.86	Professional		$320.43	$429.99	$622.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.58 / $106.73 / $176.40	Professional	26	$82.58	$106.73	$176.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.85 / $323.26 / $462.42	Professional	TC	$237.85	$323.26	$462.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.06 / $428.31 / $656.78	Professional		$364.06	$428.31	$656.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.01 / $98.84 / $149.97	Professional	26	$84.01	$98.84	$149.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.04 / $329.47 / $498.08	Professional	TC	$280.04	$329.47	$498.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $158.10 / $440.94	Professional		$90.91	$158.10	$440.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $629.51 / $1,049.01	Professional		$400.30	$629.51	$1,049.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $125.68 / $203.37	Professional	26	$78.81	$125.68	$203.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $303.50 / $515.97 / $872.82	Professional	TC	$303.50	$515.97	$872.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $389.36	Professional		$32.34	$32.34	$389.36
United Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $485.32 / $691.71	Professional		$349.93	$485.32	$691.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.64 / $93.50 / $171.98	Professional	26	$78.64	$93.50	$171.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.95 / $402.85 / $519.69	Professional	TC	$282.95	$402.85	$519.69