Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $86.16 / $132.29	Facility	26	$86.16	$86.16	$132.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $416.32 / $525.00	Professional		$345.50	$416.32	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $105.17 / $140.50	Professional	26	$85.00	$105.17	$140.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $258.58 / $315.23 / $370.49	Professional	TC	$258.58	$315.23	$370.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.02 / $63.87 / $98.46	Professional	26	$47.02	$63.87	$98.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.98 / $531.86 / $770.62	Professional		$377.98	$531.86	$770.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.60 / $114.50 / $169.81	Professional	26	$91.60	$114.50	$169.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $315.39 / $417.36 / $597.33	Professional	TC	$315.39	$417.36	$597.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $275.95 / $416.14	Professional		$83.17	$275.95	$416.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.73 / $599.38 / $1,052.56	Professional		$334.73	$599.38	$1,052.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $112.11 / $187.50	Professional	26	$80.09	$112.11	$187.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.68 / $480.69 / $846.99	Professional	TC	$251.68	$480.69	$846.99
United Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $485.18 / $818.26	Professional		$349.23	$485.18	$818.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.44 / $96.09 / $169.38	Professional	26	$79.44	$96.09	$169.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.72 / $393.16 / $643.03	Professional	TC	$261.72	$393.16	$643.03