Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.74 / $62.74 / $105.46	Facility	26	$62.74	$62.74	$105.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.44 / $400.64 / $424.10	Professional		$399.44	$400.64	$424.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.74 / $63.59 / $112.37	Professional	26	$62.74	$63.59	$112.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.94 / $336.71 / $360.51	Professional	TC	$335.94	$336.71	$360.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.35 / $74.88 / $85.11	Professional	26	$63.35	$74.88	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.78 / $457.78 / $631.73	Professional		$359.78	$457.78	$631.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $67.56 / $93.23	Professional	26	$54.04	$67.56	$93.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $303.61 / $390.22 / $538.50	Professional	TC	$303.61	$390.22	$538.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $382.60 / $497.38	Professional		$71.81	$382.60	$497.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $592.76 / $908.65	Professional		$488.00	$592.76	$908.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.69 / $89.32 / $144.90	Professional	26	$76.69	$89.32	$144.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $411.31 / $508.77 / $760.44	Professional	TC	$411.31	$508.77	$760.44
United Facility/Professional Professional Modifier Low / Median / High Price $444.78 / $534.73 / $863.23	Professional		$444.78	$534.73	$863.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.05 / $80.97 / $127.58	Professional	26	$64.05	$80.97	$127.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $377.42 / $453.71 / $738.07	Professional	TC	$377.42	$453.71	$738.07