Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.19 / $87.19 / $134.41	Facility	26	$87.19	$87.19	$134.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $278.38 / $438.48	Professional		$257.08	$278.38	$438.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.56 / $88.43 / $148.22	Professional	26	$83.56	$88.43	$148.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.12 / $187.16 / $351.12	Professional	TC	$170.12	$187.16	$351.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.62 / $95.43 / $119.30	Professional	26	$63.62	$95.43	$119.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $343.90 / $515.85	Professional		$285.86	$343.90	$515.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.47 / $78.90 / $122.29	Professional	26	$76.47	$78.90	$122.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.00 / $265.00 / $410.75	Professional	TC	$212.00	$265.00	$410.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $238.35 / $378.55	Professional		$84.50	$238.35	$378.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.06 / $98.06 / $98.06	Facility	26	$98.06	$98.06	$98.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $510.59 / $893.56	Professional		$301.87	$510.59	$893.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $109.38 / $197.36	Professional	26	$81.06	$109.38	$197.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.15 / $380.98 / $696.65	Professional	TC	$217.15	$380.98	$696.65
United Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $426.95 / $733.25	Professional		$286.38	$426.95	$733.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.70 / $97.60 / $180.26	Professional	26	$80.70	$97.60	$180.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.77 / $346.84 / $574.54	Professional	TC	$200.77	$346.84	$574.54