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 $427.44 / $470.83 / $566.60	Professional		$427.44	$470.83	$566.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $200.11 / $227.97 / $462.00	Professional	26	$200.11	$227.97	$462.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.32 / $244.04 / $270.72	Professional	TC	$214.32	$244.04	$270.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.94 / $367.94 / $367.94	Professional		$367.94	$367.94	$367.94
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 $458.12 / $572.65 / $813.16	Professional		$458.12	$572.65	$813.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $216.07 / $270.08 / $372.72	Professional	26	$216.07	$270.08	$372.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $242.04 / $302.56 / $429.63	Professional	TC	$242.04	$302.56	$429.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.35 / $285.55 / $541.09	Professional		$221.35	$285.55	$541.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.41 / $583.61 / $1,008.75	Professional		$492.41	$583.61	$1,008.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $237.50 / $286.75 / $471.94	Professional	26	$237.50	$286.75	$471.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.91 / $303.25 / $553.13	Professional	TC	$254.91	$303.25	$553.13
United Facility/Professional Professional Modifier Low / Median / High Price $432.87 / $549.08 / $890.11	Professional		$432.87	$549.08	$890.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $205.27 / $255.66 / $430.72	Professional	26	$205.27	$255.66	$430.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.15 / $288.19 / $476.80	Professional	TC	$225.15	$288.19	$476.80