Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.25 / $80.25 / $85.15	Facility	26	$80.25	$80.25	$85.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $397.85 / $481.56	Professional		$346.94	$397.85	$481.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.18 / $81.96 / $108.56	Professional	26	$78.18	$81.96	$108.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.24 / $315.54 / $382.58	Professional	TC	$267.24	$315.54	$382.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Professional		$380.47	$380.47	$380.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.41 / $112.01 / $149.61	Professional	26	$84.41	$112.01	$149.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.54 / $395.01 / $545.11	Professional		$257.54	$395.01	$545.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.40 / $156.47 / $248.01	Professional	26	$66.40	$156.47	$248.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.52 / $210.91 / $326.91	Professional	TC	$166.52	$210.91	$326.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $340.99 / $481.40	Professional		$82.03	$340.99	$481.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.77 / $439.85 / $876.32	Professional		$255.77	$439.85	$876.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $106.77 / $187.96	Professional	26	$85.72	$106.77	$187.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.58 / $345.90 / $742.41	Professional	TC	$172.58	$345.90	$742.41
United Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $416.83 / $659.04	Professional		$289.88	$416.83	$659.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.73 / $95.17 / $161.80	Professional	26	$75.73	$95.17	$161.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.64 / $317.16 / $514.22	Professional	TC	$195.64	$317.16	$514.22