Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.62 / $115.62 / $178.50	Facility	26	$115.62	$115.62	$178.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $231.00 / $298.43	Professional		$208.05	$231.00	$298.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.60 / $115.62 / $146.33	Professional	26	$110.60	$115.62	$146.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.39 / $110.58 / $184.59	Professional	TC	$99.39	$110.58	$184.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.14 / $326.14 / $326.14	Professional		$326.14	$326.14	$326.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $118.29 / $118.29 / $198.01	Professional	26	$118.29	$118.29	$198.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $490.41 / $696.38	Professional		$292.81	$490.41	$696.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.37 / $132.44 / $205.29	Professional	26	$110.37	$132.44	$205.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.80 / $357.96 / $508.30	Professional	TC	$173.80	$357.96	$508.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,120.35 / $1,120.35 / $1,120.35	Professional		$1,120.35	$1,120.35	$1,120.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.66 / $129.66 / $129.66	Facility	26	$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.95 / $480.17 / $909.03	Professional		$366.95	$480.17	$909.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.30 / $132.77 / $250.84	Professional	26	$103.30	$132.77	$250.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.29 / $349.09 / $666.54	Professional	TC	$250.29	$349.09	$666.54
United Facility/Professional Professional Modifier Low / Median / High Price $387.91 / $495.35 / $873.07	Professional		$387.91	$495.35	$873.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.64 / $122.70 / $223.29	Professional	26	$102.64	$122.70	$223.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.06 / $375.00 / $669.14	Professional	TC	$282.06	$375.00	$669.14