Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $109.65 / $138.04	Facility	26	$89.13	$109.65	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $812.83	Professional		$229.09	$323.59	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $316.23	Professional	26	$77.62	$109.65	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $316.23	Professional	TC	$138.04	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $257.04	Professional		$194.98	$208.93	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $117.49	Professional	26	$79.43	$97.72	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $575.44	Professional		$234.42	$380.19	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $151.36 / $229.09	Professional	26	$87.10	$151.36	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $229.09 / $354.81	Professional	TC	$144.54	$229.09	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $269.15	Professional		$83.18	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $489.78	Professional		$213.80	$316.23	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $186.21	Professional	26	$81.28	$117.49	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $190.55 / $302.00	Professional	TC	$144.54	$190.55	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $467.74	Professional		$213.80	$269.15	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $173.78	Professional	26	$75.86	$100.00	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $169.82 / $288.40	Professional	TC	$134.90	$169.82	$288.40