Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.34 / $83.34 / $127.95	Facility	26	$83.34	$83.34	$127.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.25 / $372.64 / $501.51	Professional		$311.25	$372.64	$501.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.34 / $97.84 / $145.65	Professional	26	$83.34	$97.84	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.44 / $270.79 / $368.50	Professional	TC	$226.44	$270.79	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $75.70 / $123.04	Professional	26	$65.67	$75.70	$123.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.67 / $417.85 / $648.24	Professional		$365.67	$417.85	$648.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $82.50 / $127.87	Professional	26	$74.20	$82.50	$127.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $335.35 / $519.79	Professional	TC	$285.00	$335.35	$519.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $230.85 / $373.80	Professional		$80.44	$230.85	$373.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $640.60 / $1,052.88	Professional		$307.42	$640.60	$1,052.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $106.72 / $180.70	Professional	26	$77.45	$106.72	$180.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.77 / $524.30 / $867.76	Professional	TC	$221.77	$524.30	$867.76
United Facility/Professional Professional Modifier Low / Median / High Price $328.81 / $526.44 / $850.76	Professional		$328.81	$526.44	$850.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.47 / $92.09 / $173.26	Professional	26	$75.47	$92.09	$173.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.99 / $429.61 / $764.16	Professional	TC	$243.99	$429.61	$764.16