Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $125.89 / $165.96	Facility	26	$104.71	$125.89	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $870.96	Professional		$190.55	$416.87	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $181.97 / $501.19	Professional	26	$97.72	$181.97	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $616.60	Professional	TC	$245.47	$338.84	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $316.23	Professional		$239.88	$295.12	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $173.78	Professional	26	$75.86	$95.50	$173.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $204.17 / $346.74	Professional	TC	$204.17	$204.17	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $851.14	Professional		$398.11	$549.54	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $165.96	Professional	26	$93.33	$114.82	$165.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $446.68 / $691.83	Professional	TC	$302.00	$446.68	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $426.58	Professional		$104.71	$263.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $1,380.38	Professional		$338.84	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $138.04 / $263.03	Professional	26	$89.13	$138.04	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $501.19 / $1,174.90	Professional	TC	$234.42	$501.19	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,230.27	Professional		$363.08	$602.56	$1,230.27
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 $263.03 / $436.52 / $1,071.52	Professional	TC	$263.03	$436.52	$1,071.52