Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $128.82 / $128.82	Facility	26	$85.11	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $776.25	Professional		$363.08	$436.52	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $95.50 / $208.93	Professional	26	$79.43	$95.50	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $346.74 / $549.54	Professional	TC	$281.84	$346.74	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $436.52	Professional		$407.38	$426.58	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $144.54	Professional	26	$72.44	$104.71	$144.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $645.65	Professional		$275.42	$436.52	$645.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $186.21 / $275.42	Professional	26	$67.61	$186.21	$275.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $251.19 / $380.19	Professional	TC	$177.83	$251.19	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $954.99	Professional		$263.03	$457.09	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $107.15 / $190.55	Professional	26	$83.18	$107.15	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $371.54 / $776.25	Professional	TC	$181.97	$371.54	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $691.83	Professional		$288.40	$416.87	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $154.88	Professional	26	$75.86	$93.33	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $323.59 / $537.03	Professional	TC	$199.53	$323.59	$537.03