Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $93.33 / $138.04	Facility	26	$70.79	$93.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,047.13	Professional		$389.05	$537.03	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $173.78	Professional	26	$67.61	$89.13	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $389.05 / $630.96	Professional	TC	$309.03	$389.05	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $478.63	Professional		$302.00	$371.54	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $112.20	Professional	26	$56.23	$74.13	$112.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $724.44	Professional		$398.11	$426.58	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $144.54	Professional	26	$74.13	$91.20	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $331.13 / $549.54	Professional	TC	$323.59	$331.13	$549.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $354.81 / $478.63	Professional		$75.86	$354.81	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $891.25	Professional		$389.05	$512.86	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $100.00 / $165.96	Professional	26	$85.11	$100.00	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $457.09 / $741.31	Professional	TC	$380.19	$457.09	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $933.25	Professional		$426.58	$537.03	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $158.49	Professional	26	$70.79	$102.33	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $446.68 / $776.25	Professional	TC	$354.81	$446.68	$776.25