Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.20 / $80.05 / $118.11	Facility	26	$70.20	$80.05	$118.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.38 / $415.46 / $804.21	Professional		$391.38	$415.46	$804.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.22 / $73.15 / $143.50	Professional	26	$70.22	$73.15	$143.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $321.14 / $334.54 / $528.57	Professional	TC	$321.14	$334.54	$528.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.49 / $303.49 / $569.04	Professional		$303.49	$303.49	$569.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.91 / $90.86 / $111.82	Professional	26	$55.91	$90.86	$111.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $464.21 / $464.21 / $464.21	Professional	TC	$464.21	$464.21	$464.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.71 / $422.14 / $582.54	Professional		$337.71	$422.14	$582.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $91.14 / $125.77	Professional	26	$72.91	$91.14	$125.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.80 / $331.00 / $456.78	Professional	TC	$264.80	$331.00	$456.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $340.42 / $474.20	Professional		$73.38	$340.42	$474.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.42 / $546.84 / $915.37	Professional		$452.42	$546.84	$915.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.49 / $100.68 / $164.91	Professional	26	$84.49	$100.68	$164.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $367.50 / $436.92 / $753.22	Professional	TC	$367.50	$436.92	$753.22
United Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $533.15 / $964.51	Professional		$430.24	$533.15	$964.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $113.34 / $166.65	Professional	26	$74.41	$113.34	$166.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $366.09 / $481.14 / $751.73	Professional	TC	$366.09	$481.14	$751.73