Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.00 / $241.00 / $357.47	Facility	26	$241.00	$241.00	$357.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $499.94 / $771.08	Professional		$434.23	$499.94	$771.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $203.88 / $231.59 / $471.15	Professional	26	$203.88	$231.59	$471.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.02 / $258.94 / $395.29	Professional	TC	$225.02	$258.94	$395.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.17 / $376.17 / $442.56	Professional		$376.17	$376.17	$442.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.21 / $264.39 / $317.27	Professional	26	$169.21	$264.39	$317.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.81 / $1,097.64 / $1,745.24	Professional		$467.81	$1,097.64	$1,745.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $241.12 / $301.39 / $415.93	Professional	26	$241.12	$301.39	$415.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.28 / $796.24 / $1,273.98	Professional	TC	$219.28	$796.24	$1,273.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.10 / $288.80 / $553.20	Professional		$222.10	$288.80	$553.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.58 / $1,353.37 / $2,560.42	Professional		$562.58	$1,353.37	$2,560.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $246.58 / $310.74 / $513.83	Professional	26	$246.58	$310.74	$513.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.64 / $1,061.47 / $2,050.33	Professional	TC	$298.64	$1,061.47	$2,050.33
United Facility/Professional Professional Modifier Low / Median / High Price $456.45 / $628.51 / $1,386.05	Professional		$456.45	$628.51	$1,386.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $209.18 / $264.32 / $469.29	Professional	26	$209.18	$264.32	$469.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.16 / $371.87 / $1,064.88	Professional	TC	$236.16	$371.87	$1,064.88