Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.44 / $59.44 / $75.88	Facility	26	$59.44	$59.44	$75.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.92 / $284.67 / $298.94	Professional		$282.92	$284.67	$298.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.17 / $59.44 / $75.88	Professional	26	$59.17	$59.44	$75.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.48 / $225.51 / $239.29	Professional	TC	$223.48	$225.51	$239.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.67 / $83.67 / $83.67	Professional	26	$83.67	$83.67	$83.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $248.24 / $342.57	Professional		$224.67	$248.24	$342.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.64 / $77.05 / $106.32	Professional	26	$61.64	$77.05	$106.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.01 / $171.19 / $243.08	Professional	TC	$171.01	$171.19	$243.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $271.06 / $358.97	Professional		$68.02	$271.06	$358.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.76 / $381.52 / $658.73	Professional		$322.76	$381.52	$658.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.23 / $84.91 / $139.91	Professional	26	$71.23	$84.91	$139.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.38 / $296.61 / $521.42	Professional	TC	$239.38	$296.61	$521.42
United Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $400.06 / $961.52	Professional		$308.30	$400.06	$961.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.61 / $85.56 / $141.47	Professional	26	$60.61	$85.56	$141.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.12 / $300.83 / $485.65	Professional	TC	$237.12	$300.83	$485.65