Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.45 / $46.45 / $72.89	Facility	26	$46.45	$46.45	$72.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.24 / $317.06 / $357.47	Professional		$287.24	$317.06	$357.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.45 / $48.31 / $105.01	Professional	26	$46.45	$48.31	$105.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.62 / $270.61 / $308.92	Professional	TC	$243.62	$270.61	$308.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $60.22 / $63.38	Professional	26	$37.06	$60.22	$63.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.26 / $289.18 / $410.63	Professional		$260.26	$289.18	$410.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.36 / $71.09 / $95.98	Professional	26	$55.36	$71.09	$95.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $196.27 / $218.08 / $309.67	Professional	TC	$196.27	$218.08	$309.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $309.25 / $395.24	Professional		$53.33	$309.25	$395.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.79 / $439.09 / $770.06	Professional		$340.79	$439.09	$770.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.56 / $72.06 / $118.17	Professional	26	$58.56	$72.06	$118.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.20 / $353.03 / $645.34	Professional	TC	$279.20	$353.03	$645.34
United Facility/Professional Professional Modifier Low / Median / High Price $302.85 / $401.32 / $644.78	Professional		$302.85	$401.32	$644.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.81 / $59.15 / $98.02	Professional	26	$47.81	$59.15	$98.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.58 / $347.55 / $550.30	Professional	TC	$251.58	$347.55	$550.30