Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $81.28 / $134.90	Facility	26	$74.13	$81.28	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $645.65	Professional		$213.80	$288.40	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $181.97	Professional	26	$64.57	$87.10	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $208.93 / $346.74	Professional	TC	$141.25	$208.93	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $489.78	Professional		$144.54	$144.54	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $79.43 / $144.54	Professional	26	$70.79	$79.43	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $537.03	Professional		$281.84	$302.00	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $79.43 / $138.04	Professional	26	$75.86	$79.43	$138.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $218.78 / $416.87	Professional	TC	$190.55	$218.78	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $112.20	Professional		$69.18	$95.50	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $1,479.11	Professional		$269.15	$501.19	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $125.89 / $354.81	Professional	26	$69.18	$125.89	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $354.81 / $1,071.52	Professional	TC	$162.18	$354.81	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $467.74	Professional		$218.78	$331.13	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $79.43 / $131.83	Professional	26	$66.07	$79.43	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $354.81	Professional	TC	$144.54	$245.47	$354.81