Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $131.83 / $165.96	Facility	26	$104.71	$131.83	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $1,047.13	Professional		$223.87	$478.63	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $165.96 / $331.13	Professional	26	$102.33	$165.96	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $380.19 / $776.25	Professional	TC	$281.84	$380.19	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $354.81	Professional		$323.59	$323.59	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $107.15 / $190.55	Professional	26	$77.62	$107.15	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $870.96	Professional		$446.68	$537.03	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $114.82 / $158.49	Professional	26	$95.50	$114.82	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $446.68 / $707.95	Professional	TC	$354.81	$446.68	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,445.44	Professional		$407.38	$741.31	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $138.04 / $251.19	Professional	26	$89.13	$138.04	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $575.44 / $1,230.27	Professional	TC	$309.03	$575.44	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,258.93	Professional		$436.52	$630.96	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $112.20 / $190.55	Professional	26	$91.20	$112.20	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $524.81 / $1,071.52	Professional	TC	$331.13	$524.81	$1,071.52