Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.19 / $43.66 / $73.09	Facility	26	$37.19	$43.66	$73.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.86 / $247.90 / $499.63	Professional		$245.86	$247.90	$499.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.19 / $38.96 / $86.00	Professional	26	$37.19	$38.96	$86.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $208.86 / $223.54	Professional	TC	$192.87	$208.86	$223.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.79 / $189.79 / $189.79	Professional		$189.79	$189.79	$189.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.68 / $37.88 / $55.64	Professional	26	$29.68	$37.88	$55.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $206.19 / $292.77	Professional		$185.57	$206.19	$292.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.48 / $55.60 / $75.06	Professional	26	$44.48	$55.60	$75.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.11 / $150.59 / $213.83	Professional	TC	$150.11	$150.59	$213.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $230.17 / $300.23	Professional		$38.94	$230.17	$300.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $300.39 / $537.95	Professional		$230.24	$300.39	$537.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.54 / $57.12 / $95.53	Professional	26	$46.54	$57.12	$95.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.85 / $231.29 / $439.23	Professional	TC	$181.85	$231.29	$439.23
United Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $288.33 / $499.98	Professional		$212.16	$288.33	$499.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $45.82 / $75.63	Professional	26	$37.99	$45.82	$75.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.78 / $242.48 / $424.35	Professional	TC	$172.78	$242.48	$424.35