Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.48 / $70.48 / $657.85	Facility	26	$70.48	$70.48	$657.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $218.05 / $475.00	Professional		$193.61	$218.05	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $72.98 / $140.00	Professional	26	$66.36	$72.98	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.02 / $145.79 / $335.00	Professional	TC	$127.02	$145.79	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $173.62 / $173.62	Professional		$173.62	$173.62	$173.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $84.18 / $105.23	Professional	26	$41.71	$84.18	$105.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $601.25 / $601.25 / $601.25	Professional	TC	$601.25	$601.25	$601.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.29 / $241.52 / $374.35	Professional		$188.29	$241.52	$374.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.22 / $78.43 / $121.56	Professional	26	$63.22	$78.43	$121.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.07 / $163.09 / $252.78	Professional	TC	$125.07	$163.09	$252.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $163.68 / $271.47	Professional		$73.66	$163.68	$271.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $293.83 / $476.95	Professional		$212.48	$293.83	$476.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.18 / $94.66 / $161.66	Professional	26	$71.18	$94.66	$161.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.88 / $198.30 / $313.32	Professional	TC	$140.88	$198.30	$313.32
United Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $511.99 / $1,120.22	Professional		$236.13	$511.99	$1,120.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.27 / $85.26 / $170.85	Professional	26	$71.27	$85.26	$170.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.22 / $360.53 / $943.83	Professional	TC	$156.22	$360.53	$943.83