Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.07 / $56.32 / $63.68	Facility	26	$53.07	$56.32	$63.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $352.35 / $512.22	Professional		$289.39	$352.35	$512.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $55.06 / $97.40	Professional	26	$50.31	$55.06	$97.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.09 / $298.62 / $362.94	Professional	TC	$239.09	$298.62	$362.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $430.62 / $522.21	Professional		$334.02	$430.62	$522.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $64.59 / $82.67	Professional	26	$48.96	$64.59	$82.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $348.14 / $479.08	Professional		$193.97	$348.14	$479.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $68.20 / $103.14	Professional	26	$49.06	$68.20	$103.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.90 / $122.63 / $265.89	Professional	TC	$92.90	$122.63	$265.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $339.11 / $452.58	Professional		$54.25	$339.11	$452.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $373.35 / $708.48	Professional		$181.59	$373.35	$708.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.63 / $69.34 / $121.49	Professional	26	$53.63	$69.34	$121.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.65 / $315.93 / $599.66	Professional	TC	$117.65	$315.93	$599.66
United Facility/Professional Professional Modifier Low / Median / High Price $214.81 / $340.37 / $587.70	Professional		$214.81	$340.37	$587.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.89 / $59.19 / $99.13	Professional	26	$47.89	$59.19	$99.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.19 / $283.88 / $525.16	Professional	TC	$159.19	$283.88	$525.16