Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.97 / $103.97 / $178.22	Facility	26	$103.97	$103.97	$178.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $475.00 / $742.36	Professional		$369.27	$475.00	$742.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.26 / $128.65 / $176.40	Professional	26	$100.26	$128.65	$176.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.80 / $335.00 / $421.43	Professional	TC	$269.80	$335.00	$421.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.98 / $299.39 / $305.27	Professional		$289.98	$299.39	$305.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $101.17 / $168.95	Professional	26	$75.59	$101.17	$168.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.69 / $544.62 / $816.93	Professional		$435.69	$544.62	$816.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.20 / $100.30 / $155.46	Professional	26	$90.20	$100.30	$155.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $343.26 / $444.32 / $666.48	Professional	TC	$343.26	$444.32	$666.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $309.06 / $475.52	Professional		$100.61	$309.06	$475.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.67 / $855.16 / $1,412.68	Professional		$389.67	$855.16	$1,412.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.54 / $133.02 / $224.70	Professional	26	$96.54	$133.02	$224.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $283.75 / $639.51 / $1,241.83	Professional	TC	$283.75	$639.51	$1,241.83
United Facility/Professional Professional Modifier Low / Median / High Price $406.34 / $642.67 / $1,271.47	Professional		$406.34	$642.67	$1,271.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.25 / $110.32 / $208.40	Professional	26	$93.25	$110.32	$208.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.41 / $489.09 / $925.00	Professional	TC	$314.41	$489.09	$925.00