Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.39 / $109.39 / $162.88	Facility	26	$109.39	$109.39	$162.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $324.02 / $358.88	Professional		$293.74	$324.02	$358.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $98.32 / $124.15	Professional	26	$89.57	$98.32	$124.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $228.53 / $251.50	Professional	TC	$204.15	$228.53	$251.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.11 / $77.11 / $154.21	Professional	26	$77.11	$77.11	$154.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.35 / $444.75 / $631.54	Professional		$291.35	$444.75	$631.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.45 / $144.44 / $195.00	Professional	26	$97.45	$144.44	$195.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.90 / $300.30 / $426.42	Professional	TC	$193.90	$300.30	$426.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $274.61 / $426.69	Professional		$110.84	$274.61	$426.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.83 / $404.69 / $698.59	Professional		$337.83	$404.69	$698.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.56 / $129.78 / $215.04	Professional	26	$109.56	$129.78	$215.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.71 / $283.07 / $474.22	Professional	TC	$227.71	$283.07	$474.22
United Facility/Professional Professional Modifier Low / Median / High Price $302.89 / $378.67 / $631.22	Professional		$302.89	$378.67	$631.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.13 / $116.36 / $192.81	Professional	26	$94.13	$116.36	$192.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.41 / $256.56 / $438.82	Professional	TC	$204.41	$256.56	$438.82