Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.69 / $90.69 / $139.78	Facility	26	$90.69	$90.69	$139.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.88 / $300.92 / $438.26	Professional		$260.88	$300.92	$438.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.86 / $90.69 / $120.18	Professional	26	$86.86	$90.69	$120.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.48 / $212.80 / $350.77	Professional	TC	$170.48	$212.80	$350.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.40 / $82.71 / $124.07	Professional	26	$67.40	$82.71	$124.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $343.90 / $515.85	Professional		$275.12	$343.90	$515.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.80 / $78.90 / $122.29	Professional	26	$76.80	$78.90	$122.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $412.68 / $515.85 / $773.77	Professional	50	$412.68	$515.85	$773.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.00 / $265.00 / $397.50	Professional	TC	$212.00	$265.00	$397.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $246.06 / $399.57	Professional		$87.88	$246.06	$399.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.96 / $101.96 / $101.96	Facility	26	$101.96	$101.96	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.43 / $509.89 / $882.84	Professional		$316.43	$509.89	$882.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.19 / $109.38 / $198.14	Professional	26	$83.19	$109.38	$198.14
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $458.57 / $458.57 / $523.66	Professional	50	$458.57	$458.57	$523.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.86 / $384.52 / $719.12	Professional	TC	$229.86	$384.52	$719.12
United Facility/Professional Professional Modifier Low / Median / High Price $324.81 / $454.08 / $745.63	Professional		$324.81	$454.08	$745.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.52 / $101.14 / $186.78	Professional	26	$83.52	$101.14	$186.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.73 / $343.41 / $563.62	Professional	TC	$234.73	$343.41	$563.62