Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.47 / $147.47 / $156.44	Facility	26	$147.47	$147.47	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $248.78 / $337.68	Professional		$226.73	$248.78	$337.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.25 / $149.16 / $181.70	Professional	26	$139.25	$149.16	$181.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.06 / $95.96 / $116.17	Professional	TC	$80.06	$95.96	$116.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $277.45 / $345.90	Professional		$206.43	$277.45	$345.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $133.47 / $200.41 / $240.25	Professional	26	$133.47	$200.41	$240.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.77 / $261.07 / $414.65	Professional		$203.77	$261.07	$414.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.99 / $159.11 / $252.70	Professional	26	$125.99	$159.11	$252.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.77 / $101.96 / $161.94	Professional	TC	$77.77	$101.96	$161.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $165.05 / $277.45	Professional		$82.37	$165.05	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.73 / $319.11 / $526.00	Professional		$249.73	$319.11	$526.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $159.60 / $196.46 / $328.57	Professional	26	$159.60	$196.46	$328.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.78 / $125.45 / $192.20	Professional	TC	$86.78	$125.45	$192.20
United Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $276.27 / $456.30	Professional		$222.56	$276.27	$456.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $136.00 / $180.45 / $275.25	Professional	26	$136.00	$180.45	$275.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.66 / $108.74 / $176.94	Professional	TC	$88.66	$108.74	$176.94