Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $300.14 / $342.17 / $360.17	Facility	26	$300.14	$342.17	$360.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,087.86 / $1,656.70	Professional		$1,012.82	$1,087.86	$1,656.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $271.75 / $321.39 / $582.00	Professional	26	$271.75	$321.39	$582.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $728.19 / $787.72 / $1,226.36	Professional	TC	$728.19	$787.72	$1,226.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $382.97 / $382.97 / $382.97	Professional	26	$382.97	$382.97	$382.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.50 / $896.14 / $1,289.89	Professional		$572.50	$896.14	$1,289.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $307.11 / $424.96 / $586.44	Professional	26	$307.11	$424.96	$586.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $589.03 / $1,008.84 / $1,392.19	Professional	TC	$589.03	$1,008.84	$1,392.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $724.36 / $1,108.21	Professional		$268.08	$724.36	$1,108.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.46 / $1,407.47 / $2,965.68	Professional		$1,149.46	$1,407.47	$2,965.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $328.26 / $441.87 / $896.20	Professional	26	$328.26	$441.87	$896.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $828.05 / $987.65 / $2,069.48	Professional	TC	$828.05	$987.65	$2,069.48
United Facility/Professional Professional Modifier Low / Median / High Price $987.73 / $1,266.81 / $2,057.94	Professional		$987.73	$1,266.81	$2,057.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $274.85 / $386.39 / $587.65	Professional	26	$274.85	$386.39	$587.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $670.27 / $872.07 / $1,468.37	Professional	TC	$670.27	$872.07	$1,468.37