Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.81 / $130.88 / $177.21	Facility	26	$114.81	$130.88	$177.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $319.74 / $395.79	Professional		$275.00	$319.74	$395.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.09 / $118.03 / $211.00	Professional	26	$106.09	$118.03	$211.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.67 / $212.93 / $266.22	Professional	TC	$164.67	$212.93	$266.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $257.44 / $445.89	Professional		$245.26	$257.44	$445.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.89 / $111.58 / $167.78	Professional	26	$83.89	$111.58	$167.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $167.89 / $167.89 / $167.89	Professional	TC	$167.89	$167.89	$167.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.22 / $696.01 / $986.36	Professional		$339.22	$696.01	$986.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.15 / $139.37 / $209.05	Professional	26	$116.15	$139.37	$209.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.00 / $556.63 / $751.45	Professional	TC	$213.00	$556.63	$751.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $221.25 / $386.44	Professional		$110.10	$221.25	$386.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $598.30 / $831.98	Professional		$316.02	$598.30	$831.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.09 / $134.36 / $246.70	Professional	26	$105.09	$134.36	$246.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.38 / $441.54 / $655.04	Professional	TC	$208.38	$441.54	$655.04
United Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $506.23 / $868.28	Professional		$337.62	$506.23	$868.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.80 / $122.65 / $230.63	Professional	26	$102.80	$122.65	$230.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.14 / $323.48 / $696.53	Professional	TC	$222.14	$323.48	$696.53