Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $101.24	Facility	26	$95.51	$95.51	$101.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $273.20 / $369.77	Professional		$234.24	$273.20	$369.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.50 / $96.86 / $117.73	Professional	26	$91.50	$96.86	$117.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.58 / $176.35 / $264.64	Professional	TC	$140.58	$176.35	$264.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.76 / $537.76 / $537.76	Professional		$537.76	$537.76	$537.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.11 / $238.50 / $351.84	Professional		$195.11	$238.50	$351.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $122.57 / $194.26	Professional	26	$76.73	$122.57	$194.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.52 / $94.40 / $268.48	Professional	TC	$75.52	$94.40	$268.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $186.98 / $329.00	Professional		$97.52	$186.98	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.62 / $293.32 / $620.82	Professional		$193.62	$293.32	$620.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $126.74 / $217.73	Professional	26	$98.89	$126.74	$217.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.33 / $185.59 / $412.25	Professional	TC	$74.33	$185.59	$412.25
United Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $283.73 / $447.87	Professional		$209.03	$283.73	$447.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.72 / $106.30 / $178.44	Professional	26	$87.72	$106.30	$178.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.59 / $164.89 / $298.66	Professional	TC	$119.59	$164.89	$298.66