Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.64 / $108.06 / $160.03	Facility	26	$103.64	$108.06	$160.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $475.00 / $644.07	Professional		$219.14	$475.00	$644.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.64 / $131.60 / $193.00	Professional	26	$103.64	$131.60	$193.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.95 / $335.00 / $420.04	Professional	TC	$290.95	$335.00	$420.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $281.08 / $304.49	Professional		$275.00	$281.08	$304.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.75 / $87.08 / $142.04	Professional	26	$75.75	$87.08	$142.04
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 $355.45 / $444.32 / $666.48	Professional	TC	$355.45	$444.32	$666.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $298.64 / $456.74	Professional		$99.42	$298.64	$456.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.42 / $853.21 / $1,409.37	Professional		$388.42	$853.21	$1,409.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.66 / $133.02 / $224.70	Professional	26	$96.66	$133.02	$224.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.77 / $637.46 / $1,241.83	Professional	TC	$282.77	$637.46	$1,241.83
United Facility/Professional Professional Modifier Low / Median / High Price $422.13 / $630.83 / $1,229.26	Professional		$422.13	$630.83	$1,229.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.25 / $115.32 / $215.46	Professional	26	$93.25	$115.32	$215.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.83 / $453.22 / $937.53	Professional	TC	$301.83	$453.22	$937.53