Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.07 / $90.07 / $151.27	Facility	26	$90.07	$90.07	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.29 / $754.91 / $802.35	Professional		$754.29	$754.91	$802.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.07 / $91.96 / $203.61	Professional	26	$90.07	$91.96	$203.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $662.14 / $664.21 / $710.38	Professional	TC	$662.14	$664.21	$710.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.28 / $94.28 / $134.27	Professional	26	$94.28	$94.28	$134.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.96 / $858.38 / $1,184.56	Professional		$674.96	$858.38	$1,184.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.17 / $96.47 / $133.12	Professional	26	$77.17	$96.47	$133.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $595.12 / $761.91 / $1,051.43	Professional	TC	$595.12	$761.91	$1,051.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $690.79 / $944.51	Professional		$95.10	$690.79	$944.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.58 / $1,116.54 / $1,708.02	Professional		$920.58	$1,116.54	$1,708.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.53 / $127.34 / $207.20	Professional	26	$110.53	$127.34	$207.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $810.05 / $997.02 / $1,495.43	Professional	TC	$810.05	$997.02	$1,495.43
United Facility/Professional Professional Modifier Low / Median / High Price $831.42 / $1,004.36 / $1,615.36	Professional		$831.42	$1,004.36	$1,615.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.06 / $110.60 / $183.18	Professional	26	$91.06	$110.60	$183.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $739.85 / $850.99 / $1,387.83	Professional	TC	$739.85	$850.99	$1,387.83