Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.09 / $71.51 / $100.08	Facility	26	$65.09	$71.51	$100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $320.73 / $525.00	Professional		$212.89	$320.73	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $88.83 / $164.88	Professional	26	$65.09	$88.83	$164.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $712.50 / $712.50 / $712.50	Professional	50	$712.50	$712.50	$712.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.84 / $225.46 / $340.00	Professional	TC	$163.84	$225.46	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $167.86 / $204.18	Professional		$163.34	$167.86	$204.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.38 / $59.22 / $88.83	Professional	26	$47.38	$59.22	$88.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $112.73 / $646.75 / $646.75	Professional	TC	$112.73	$646.75	$646.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.26 / $373.82 / $579.41	Professional		$308.26	$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 50 Low / Median / High Price $462.39 / $560.73 / $869.13	Professional	50	$462.39	$560.73	$869.13
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 $62.18 / $172.31 / $265.43	Professional		$62.18	$172.31	$265.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $504.33 / $860.28	Professional		$225.46	$504.33	$860.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $81.00 / $140.65	Professional	26	$60.49	$81.00	$140.65
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.09 / $338.09 / $386.61	Professional	50	$338.09	$338.09	$386.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.80 / $422.59 / $738.81	Professional	TC	$159.80	$422.59	$738.81
United Facility/Professional Professional Modifier Low / Median / High Price $228.06 / $418.57 / $679.14	Professional		$228.06	$418.57	$679.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.22 / $73.45 / $141.86	Professional	26	$59.22	$73.45	$141.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.45 / $306.20 / $554.07	Professional	TC	$173.45	$306.20	$554.07