Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.10 / $46.10 / $77.69	Facility	26	$46.10	$46.10	$77.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $278.33 / $311.00	Professional		$276.39	$278.33	$311.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.97 / $46.64 / $106.60	Professional	26	$45.97	$46.64	$106.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.30 / $231.58 / $266.31	Professional	TC	$230.30	$231.58	$266.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.97 / $45.97 / $65.37	Professional	26	$45.97	$45.97	$65.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $328.98 / $453.99	Professional		$266.70	$328.98	$453.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $48.44 / $66.84	Professional	26	$40.85	$48.44	$66.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.72 / $275.69 / $380.45	Professional	TC	$220.72	$275.69	$380.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $266.70 / $346.71	Professional		$48.27	$266.70	$346.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.16 / $412.00 / $683.95	Professional		$350.16	$412.00	$683.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $65.48 / $110.10	Professional	26	$56.78	$65.48	$110.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.26 / $346.25 / $573.85	Professional	TC	$293.26	$346.25	$573.85
United Facility/Professional Professional Modifier Low / Median / High Price $299.16 / $378.02 / $598.54	Professional		$299.16	$378.02	$598.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $59.15 / $120.63	Professional	26	$46.78	$59.15	$120.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.21 / $290.52 / $493.88	Professional	TC	$226.21	$290.52	$493.88