Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.30 / $112.30 / $166.63	Facility	26	$112.30	$112.30	$166.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $417.25 / $521.63	Professional		$374.25	$417.25	$521.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.01 / $104.32 / $219.54	Professional	26	$94.01	$104.32	$219.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $273.35 / $315.97 / $363.85	Professional	TC	$273.35	$315.97	$363.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.81 / $104.91 / $157.76	Professional	26	$83.81	$104.91	$157.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.82 / $380.74 / $540.65	Professional		$348.82	$380.74	$540.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.87 / $93.19 / $128.60	Professional	26	$83.87	$93.19	$128.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.01 / $287.55 / $408.32	Professional	TC	$265.01	$287.55	$408.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $331.63 / $491.27	Professional		$113.39	$331.63	$491.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.75 / $526.82 / $917.18	Professional		$448.75	$526.82	$917.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $132.40 / $220.51	Professional	26	$111.30	$132.40	$220.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.36 / $389.80 / $701.52	Professional	TC	$335.36	$389.80	$701.52
United Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $501.63 / $805.16	Professional		$391.73	$501.63	$805.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.14 / $117.00 / $197.51	Professional	26	$95.14	$117.00	$197.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.72 / $367.25 / $597.55	Professional	TC	$296.72	$367.25	$597.55