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 / $65.48	Facility	26	$53.07	$56.32	$65.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.42 / $410.19 / $593.82	Professional		$329.42	$410.19	$593.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $54.76 / $87.22	Professional	26	$50.31	$54.76	$87.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $279.11 / $354.55 / $430.74	Professional	TC	$279.11	$354.55	$430.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.62 / $500.90 / $834.33	Professional		$376.62	$500.90	$834.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.67 / $74.09 / $86.49	Professional	26	$51.67	$74.09	$86.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $378.63 / $579.26	Professional		$211.05	$378.63	$579.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $184.77 / $292.85	Professional	26	$49.06	$184.77	$292.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.33 / $202.64 / $314.08	Professional	TC	$153.33	$202.64	$314.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $404.96 / $529.95	Professional		$54.25	$404.96	$529.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $423.38 / $807.07	Professional		$198.81	$423.38	$807.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.09 / $69.56 / $128.35	Professional	26	$54.09	$69.56	$128.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.86 / $349.98 / $703.67	Professional	TC	$137.86	$349.98	$703.67
United Facility/Professional Professional Modifier Low / Median / High Price $224.61 / $402.96 / $695.38	Professional		$224.61	$402.96	$695.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.78 / $59.55 / $105.12	Professional	26	$48.78	$59.55	$105.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.63 / $341.80 / $597.42	Professional	TC	$141.63	$341.80	$597.42