Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.90 / $63.72 / $85.90	Facility	26	$55.90	$63.72	$85.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $182.86 / $307.42	Professional		$121.39	$182.86	$307.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.17 / $58.32 / $121.39	Professional	26	$53.17	$58.32	$121.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.80 / $137.68 / $254.24	Professional	TC	$110.80	$137.68	$254.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $126.08 / $264.94	Professional		$126.08	$126.08	$264.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.56 / $51.80 / $76.25	Professional	26	$40.56	$51.80	$76.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.29 / $294.62 / $456.66	Professional		$229.29	$294.62	$456.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.29 / $75.20 / $108.17	Professional	26	$59.29	$75.20	$108.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.00 / $219.42 / $340.10	Professional	TC	$170.00	$219.42	$340.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $121.74 / $199.08	Professional		$53.37	$121.74	$199.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $316.22 / $562.35	Professional		$168.95	$316.22	$562.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $72.52 / $120.89	Professional	26	$52.17	$72.52	$120.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.59 / $242.98 / $448.08	Professional	TC	$111.59	$242.98	$448.08
United Facility/Professional Professional Modifier Low / Median / High Price $179.94 / $266.56 / $456.74	Professional		$179.94	$266.56	$456.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $61.39 / $112.04	Professional	26	$50.31	$61.39	$112.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.95 / $206.25 / $334.77	Professional	TC	$124.95	$206.25	$334.77