Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.08 / $40.71 / $54.58	Facility	26	$39.08	$40.71	$54.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.31 / $365.19 / $710.63	Professional		$362.31	$365.19	$710.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.08 / $39.83 / $88.34	Professional	26	$39.08	$39.83	$88.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.23 / $324.76 / $465.32	Professional	TC	$323.23	$324.76	$465.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $37.43 / $53.70	Professional	26	$31.19	$37.43	$53.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $465.32 / $465.32 / $465.32	Professional	TC	$465.32	$465.32	$465.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $342.58 / $472.76	Professional		$295.79	$342.58	$472.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.43 / $40.84 / $56.35	Professional	26	$34.43	$40.84	$56.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.28 / $297.66 / $410.77	Professional	TC	$255.28	$297.66	$410.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $349.20 / $456.48	Professional		$40.93	$349.20	$456.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.21 / $554.29 / $915.00	Professional		$452.21	$554.29	$915.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $55.50 / $92.55	Professional	26	$48.02	$55.50	$92.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $392.91 / $498.66 / $822.46	Professional	TC	$392.91	$498.66	$822.46
United Facility/Professional Professional Modifier Low / Median / High Price $405.89 / $479.65 / $805.67	Professional		$405.89	$479.65	$805.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.89 / $50.31 / $79.48	Professional	26	$40.89	$50.31	$79.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $349.71 / $416.09 / $728.71	Professional	TC	$349.71	$416.09	$728.71