Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.43 / $65.43 / $112.16	Facility	26	$65.43	$65.43	$112.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $362.90 / $529.25	Professional		$243.02	$362.90	$529.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.43 / $83.88 / $154.00	Professional	26	$65.43	$83.88	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.04 / $277.20 / $368.50	Professional	TC	$223.04	$277.20	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.25 / $234.02 / $275.32	Professional		$220.25	$234.02	$275.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $59.52 / $91.02	Professional	26	$47.50	$59.52	$91.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $275.14 / $275.14 / $275.14	Professional	TC	$275.14	$275.14	$275.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $373.82 / $579.41	Professional		$311.04	$373.82	$579.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.20 / $62.50 / $96.87	Professional	26	$56.20	$62.50	$96.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.00 / $311.32 / $482.54	Professional	TC	$260.00	$311.32	$482.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $237.38 / $357.92	Professional		$62.50	$237.38	$357.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $541.62 / $875.48	Professional		$303.87	$541.62	$875.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.41 / $83.23 / $141.36	Professional	26	$60.41	$83.23	$141.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.91 / $445.44 / $763.48	Professional	TC	$237.91	$445.44	$763.48
United Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $465.88 / $900.49	Professional		$322.52	$465.88	$900.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $69.29 / $128.80	Professional	26	$57.91	$69.29	$128.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.50 / $380.35 / $638.60	Professional	TC	$251.50	$380.35	$638.60