Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.38 / $89.38 / $107.70	Facility	26	$89.38	$89.38	$107.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.21 / $268.68 / $479.00	Professional		$237.21	$268.68	$479.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.45 / $95.71 / $168.00	Professional	26	$85.45	$95.71	$168.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.09 / $165.09 / $227.52	Professional	TC	$144.09	$165.09	$227.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $271.24 / $312.50	Professional		$213.39	$271.24	$312.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.64 / $113.82 / $127.03	Professional	26	$98.64	$113.82	$127.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $323.79 / $514.25	Professional		$237.52	$323.79	$514.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.09 / $129.51 / $205.27	Professional	26	$92.09	$129.51	$205.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.43 / $221.94 / $314.72	Professional	TC	$145.43	$221.94	$314.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $158.21 / $262.91	Professional		$80.62	$158.21	$262.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.53 / $325.05 / $486.16	Professional		$227.53	$325.05	$486.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.98 / $120.69 / $177.49	Professional	26	$83.98	$120.69	$177.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.71 / $190.08 / $301.70	Professional	TC	$148.71	$190.08	$301.70
United Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $268.83 / $477.73	Professional		$211.15	$268.83	$477.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.98 / $102.86 / $179.93	Professional	26	$75.98	$102.86	$179.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.44 / $171.88 / $292.02	Professional	TC	$132.44	$171.88	$292.02