Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $89.13 / $109.65	Facility	26	$70.79	$89.13	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $758.58	Professional		$199.53	$331.13	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $123.03 / $218.78	Professional	26	$67.61	$123.03	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $204.17 / $446.68	Professional	TC	$131.83	$204.17	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $173.78	Professional		$147.91	$169.82	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $58.88 / $117.49	Professional	26	$51.29	$58.88	$117.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	TC	$630.96	$630.96	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $660.69	Professional		$331.13	$416.87	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $162.18	Professional	26	$69.18	$102.33	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $309.03 / $501.19	Professional	TC	$234.42	$309.03	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $245.47	Professional		$70.79	$144.54	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $446.68 / $870.96	Professional		$199.53	$446.68	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $95.50 / $177.83	Professional	26	$60.26	$95.50	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $316.23 / $707.95	Professional	TC	$128.82	$316.23	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $660.69	Professional		$213.80	$371.54	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $131.83	Professional	26	$63.10	$75.86	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $263.03 / $549.54	Professional	TC	$141.25	$263.03	$549.54