Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.89 / $86.84 / $153.41	Facility	26	$80.89	$86.84	$153.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.27 / $375.27 / $676.32	Professional		$238.27	$375.27	$676.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $87.53 / $230.30	Professional	26	$75.65	$87.53	$230.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $291.14 / $559.66	Professional	TC	$157.38	$291.14	$559.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $101.47 / $101.47	Professional		$101.47	$101.47	$101.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.47 / $87.56 / $99.89	Professional	26	$61.47	$87.56	$99.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.26 / $372.80 / $482.18	Professional		$278.26	$372.80	$482.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $95.67 / $147.41	Professional	26	$81.31	$95.67	$147.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $374.04	Professional	TC	$190.00	$272.00	$374.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $194.14 / $343.92	Professional		$84.91	$194.14	$343.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.02 / $534.42 / $1,129.78	Professional		$326.02	$534.42	$1,129.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.20 / $122.24 / $198.51	Professional	26	$77.20	$122.24	$198.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.36 / $419.50 / $957.21	Professional	TC	$229.36	$419.50	$957.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $273.38	Professional		$32.34	$32.34	$273.38
United Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $451.49 / $624.52	Professional		$270.89	$451.49	$624.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.81 / $90.45 / $150.78	Professional	26	$76.81	$90.45	$150.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.99 / $317.24 / $565.79	Professional	TC	$183.99	$317.24	$565.79