Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $66.07 / $112.20	Facility	26	$61.66	$66.07	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $676.08	Professional		$234.42	$371.54	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $104.71 / $169.82	Professional	26	$63.10	$104.71	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $263.03 / $457.09	Professional	TC	$165.96	$263.03	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $204.17	Professional		$151.36	$151.36	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $97.72	Professional	26	$46.77	$83.18	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $707.95	Professional		$323.59	$363.08	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $74.13 / $109.65	Professional	26	$61.66	$74.13	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $288.40 / $562.34	Professional	TC	$245.47	$288.40	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $95.50	Professional		$58.88	$79.43	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $72.44 / $102.33	Facility	26	$15.49	$72.44	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $616.60 / $2,089.30	Professional		$269.15	$616.60	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $114.82 / $316.23	Professional	26	$61.66	$114.82	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $501.19 / $1,548.82	Professional	TC	$194.98	$501.19	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $616.60	Professional		$234.42	$446.68	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $69.18 / $102.33	Professional	26	$58.88	$69.18	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $354.81 / $524.81	Professional	TC	$169.82	$354.81	$524.81