Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $302.00 / $371.54	Facility	26	$269.15	$302.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $1,096.48	Professional		$426.58	$489.78	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $323.59 / $562.34	Professional	26	$199.53	$323.59	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $251.19 / $457.09	Professional	TC	$199.53	$251.19	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $707.95	Professional		$346.74	$354.81	$707.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $223.87 / $316.23	Professional	26	$169.82	$223.87	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $912.01	Professional		$478.63	$575.44	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $269.15 / $416.87	Professional	26	$234.42	$269.15	$416.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $302.00 / $478.63	Professional	TC	$251.19	$302.00	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $562.34	Professional		$229.09	$295.12	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,023.29	Professional		$478.63	$616.60	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $295.12 / $501.19	Professional	26	$234.42	$295.12	$501.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $309.03 / $549.54	Professional	TC	$239.88	$309.03	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $851.14	Professional		$436.52	$549.54	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $257.04 / $416.87	Professional	26	$204.17	$257.04	$416.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $288.40 / $446.68	Professional	TC	$229.09	$288.40	$446.68