Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.03 / $88.03 / $132.96	Facility	26	$88.03	$88.03	$132.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.27 / $467.72 / $737.64	Professional		$407.27	$467.72	$737.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $83.27 / $168.00	Professional	26	$71.87	$83.27	$168.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $319.77 / $379.69 / $468.46	Professional	TC	$319.77	$379.69	$468.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.39 / $337.39 / $396.93	Professional		$337.39	$337.39	$396.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.64 / $96.31 / $123.28	Professional	26	$61.64	$96.31	$123.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $369.80 / $554.70	Professional		$351.70	$369.80	$554.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.48 / $103.10 / $142.27	Professional	26	$82.48	$103.10	$142.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.70 / $266.70 / $413.38	Professional	TC	$266.70	$266.70	$413.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $367.86 / $496.16	Professional		$81.99	$367.86	$496.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.72 / $506.25 / $1,006.56	Professional		$363.72	$506.25	$1,006.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.25 / $110.63 / $185.16	Professional	26	$84.25	$110.63	$185.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.47 / $421.41 / $841.32	Professional	TC	$279.47	$421.41	$841.32
United Facility/Professional Professional Modifier Low / Median / High Price $400.12 / $547.11 / $1,066.14	Professional		$400.12	$547.11	$1,066.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.40 / $91.13 / $154.88	Professional	26	$72.40	$91.13	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.37 / $462.56 / $719.05	Professional	TC	$338.37	$462.56	$719.05