Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.97 / $162.97 / $242.11	Facility	26	$162.97	$162.97	$242.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $269.86 / $300.19	Professional		$255.18	$269.86	$300.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.41 / $142.33 / $185.02	Professional	26	$137.41	$142.33	$185.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.63 / $132.43 / $145.68	Professional	TC	$118.63	$132.43	$145.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.61 / $121.77 / $229.22	Professional	26	$114.61	$121.77	$229.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.11 / $403.20 / $572.54	Professional		$222.11	$403.20	$572.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.53 / $217.97 / $294.25	Professional	26	$122.53	$217.97	$294.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.58 / $185.24 / $263.04	Professional	TC	$99.58	$185.24	$263.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $179.08 / $359.33	Professional		$129.83	$179.08	$359.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.26 / $354.98 / $579.88	Professional		$300.26	$354.98	$579.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.44 / $192.29 / $318.64	Professional	26	$162.44	$192.29	$318.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.80 / $162.61 / $262.12	Professional	TC	$137.80	$162.61	$262.12
United Facility/Professional Professional Modifier Low / Median / High Price $262.91 / $319.64 / $527.16	Professional		$262.91	$319.64	$527.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.19 / $177.18 / $286.27	Professional	26	$139.19	$177.18	$286.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.91 / $150.28 / $249.44	Professional	TC	$122.91	$150.28	$249.44