Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.63 / $162.63 / $241.62	Facility	26	$162.63	$162.63	$241.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $428.04 / $473.49	Professional		$317.47	$428.04	$473.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.41 / $142.02 / $162.63	Professional	26	$137.41	$142.02	$162.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $269.93 / $310.86	Professional	TC	$185.65	$269.93	$310.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $202.59 / $202.59 / $202.59	Professional	26	$202.59	$202.59	$202.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.52 / $496.73 / $685.48	Professional		$276.52	$496.73	$685.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.69 / $217.97 / $294.25	Professional	26	$113.69	$217.97	$294.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.83 / $278.76 / $384.68	Professional	TC	$162.83	$278.76	$384.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $345.66 / $566.30	Professional		$163.84	$345.66	$566.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.76 / $498.20 / $730.57	Professional		$371.76	$498.20	$730.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.31 / $192.29 / $308.42	Professional	26	$162.31	$192.29	$308.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.27 / $299.83 / $440.49	Professional	TC	$210.27	$299.83	$440.49
United Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $424.66 / $701.92	Professional		$333.18	$424.66	$701.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $136.58 / $172.48 / $285.64	Professional	26	$136.58	$172.48	$285.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.82 / $271.07 / $428.57	Professional	TC	$186.82	$271.07	$428.57