Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $114.77	Facility	26	$74.48	$74.48	$114.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.64 / $398.65 / $493.57	Professional		$360.64	$398.65	$493.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.05 / $74.48 / $153.91	Professional	26	$74.05	$74.48	$153.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $289.23 / $324.18 / $401.36	Professional	TC	$289.23	$324.18	$401.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $92.96 / $101.87	Professional	26	$81.48	$92.96	$101.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $593.20 / $818.61	Professional		$355.57	$593.20	$818.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.98 / $120.64 / $166.48	Professional	26	$74.98	$120.64	$166.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.58 / $472.56 / $652.13	Professional	TC	$280.58	$472.56	$652.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $350.52 / $455.68	Professional		$78.19	$350.52	$455.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.32 / $563.87 / $838.13	Professional		$423.32	$563.87	$838.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.74 / $100.77 / $159.65	Professional	26	$88.74	$100.77	$159.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $343.47 / $463.73 / $678.46	Professional	TC	$343.47	$463.73	$678.46
United Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $466.46 / $746.34	Professional		$354.51	$466.46	$746.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.59 / $87.02 / $142.94	Professional	26	$69.59	$87.02	$142.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.22 / $368.85 / $610.91	Professional	TC	$278.22	$368.85	$610.91