Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $328.56 / $409.63	Professional		$307.69	$328.56	$409.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $37.67 / $44.03	Professional	26	$36.11	$37.67	$44.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.29 / $299.56 / $366.36	Professional	TC	$271.29	$299.56	$366.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $191.42 / $191.42	Professional		$191.42	$191.42	$191.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $216.72 / $298.97	Professional		$216.72	$216.72	$298.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $20.88 / $35.76	Professional	26	$20.88	$20.88	$35.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $195.84 / $263.20	Professional	TC	$195.84	$195.84	$263.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $336.34 / $480.48	Professional		$44.29	$336.34	$480.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $366.76 / $640.66	Professional		$187.24	$366.76	$640.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.39 / $41.55 / $73.95	Professional	26	$23.39	$41.55	$73.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.09 / $293.82 / $567.88	Professional	TC	$163.09	$293.82	$567.88
United Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $429.76 / $755.02	Professional		$270.24	$429.76	$755.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $50.07 / $86.51	Professional	26	$30.53	$50.07	$86.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.71 / $383.96 / $664.98	Professional	TC	$239.71	$383.96	$664.98