Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.48 / $80.34 / $107.87	Facility	26	$70.48	$80.34	$107.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $269.06 / $525.00	Professional		$194.50	$269.06	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.48 / $95.87 / $149.01	Professional	26	$70.48	$95.87	$149.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.76 / $163.08 / $348.53	Professional	TC	$130.76	$163.08	$348.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $179.86 / $179.86	Professional		$148.22	$179.86	$179.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $63.83 / $97.82	Professional	26	$50.95	$63.83	$97.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $419.66 / $641.28	Professional		$333.44	$419.66	$641.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.11 / $103.50 / $146.97	Professional	26	$73.11	$103.50	$146.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.27 / $310.23 / $480.85	Professional	TC	$255.27	$310.23	$480.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $138.33 / $233.82	Professional		$67.02	$138.33	$233.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.96 / $501.34 / $875.23	Professional		$200.96	$501.34	$875.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $93.60 / $153.19	Professional	26	$65.54	$93.60	$153.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.04 / $388.49 / $724.01	Professional	TC	$128.04	$388.49	$724.01
United Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $366.10 / $672.56	Professional		$211.37	$366.10	$672.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $78.94 / $142.25	Professional	26	$63.81	$78.94	$142.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.72 / $245.98 / $585.86	Professional	TC	$139.72	$245.98	$585.86