Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $794.33	Professional		$281.84	$371.54	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $281.84 / $724.44	Professional	26	$107.15	$281.84	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $229.09 / $354.81	Professional	TC	$204.17	$229.09	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $194.98	Professional	26	$66.07	$85.11	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $363.08	Professional		$144.54	$281.84	$363.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $147.91 / $194.98	Professional	26	$109.65	$147.91	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $131.83 / $169.82	Professional	TC	$32.36	$131.83	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $524.81	Professional		$144.54	$316.23	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $398.11 / $660.69	Professional		$158.49	$398.11	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $138.04 / $309.03	Professional	26	$60.26	$138.04	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $213.80 / $467.74	Professional	TC	$45.71	$213.80	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $724.44	Professional		$239.88	$389.05	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $147.91 / $257.04	Professional	26	$89.13	$147.91	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $229.09 / $467.74	Professional	TC	$151.36	$229.09	$467.74