Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.63 / $236.53 / $310.48	Professional		$211.63	$236.53	$310.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $41.85 / $131.35	Professional	26	$31.83	$41.85	$131.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.01 / $197.33 / $696.04	Professional	TC	$174.01	$197.33	$696.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $19.14 / $19.19	Professional	26	$19.14	$19.14	$19.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $91.81 / $182.54	Professional		$91.81	$91.81	$182.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $18.43 / $43.51	Professional	26	$18.43	$18.43	$43.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.38 / $73.38 / $139.03	Professional	TC	$73.38	$73.38	$139.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $214.19 / $316.91	Professional		$38.29	$214.19	$316.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $211.83 / $391.59	Professional		$91.94	$211.83	$391.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $36.86 / $65.91	Professional	26	$20.95	$36.86	$65.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.93 / $163.57 / $328.91	Professional	TC	$70.93	$163.57	$328.91
United Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $319.58 / $497.12	Professional		$181.93	$319.58	$497.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $44.88 / $78.52	Professional	26	$26.95	$44.88	$78.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.28 / $249.99 / $427.31	Professional	TC	$139.28	$249.99	$427.31