Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.60 / $309.43 / $1,153.07	Professional		$269.60	$309.43	$1,153.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.35 / $52.42 / $147.05	Professional	26	$43.35	$52.42	$147.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.77 / $258.02 / $372.31	Professional	TC	$232.77	$258.02	$372.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.19 / $36.95 / $44.38	Professional	26	$29.19	$36.95	$44.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $95.06 / $192.80	Professional		$95.06	$95.06	$192.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $26.78 / $63.44	Professional	26	$26.78	$26.78	$63.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.28 / $68.28 / $129.84	Professional	TC	$68.28	$68.28	$129.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $319.72 / $437.26	Professional		$59.16	$319.72	$437.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $222.48 / $520.29	Professional		$96.61	$222.48	$520.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $53.63 / $101.87	Professional	26	$30.74	$53.63	$101.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $161.96 / $452.00	Professional	TC	$66.00	$161.96	$452.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $356.93 / $692.76	Professional		$193.15	$356.93	$692.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $67.48 / $114.99	Professional	26	$40.50	$67.48	$114.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.34 / $284.77 / $530.15	Professional	TC	$131.34	$284.77	$530.15