Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $144.54 / $186.21	Facility	26	$97.72	$144.54	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $2,187.76	Professional		$346.74	$478.63	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $501.19	Professional	26	$97.72	$158.49	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $870.96	Professional	TC	$234.42	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $758.58	Professional		$223.87	$281.84	$758.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $104.71 / $181.97	Professional	26	$95.50	$104.71	$181.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $436.52	Professional	TC	$234.42	$234.42	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $851.14	Professional		$436.52	$512.86	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $165.96	Professional	26	$95.50	$117.49	$165.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $398.11 / $707.95	Professional	TC	$338.84	$398.11	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $407.38	Professional		$104.71	$229.09	$407.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,071.52 / $4,466.84	Professional		$407.38	$1,071.52	$4,466.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $177.83 / $501.19	Professional	26	$97.72	$177.83	$501.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $870.96 / $2,398.83	Professional	TC	$281.84	$870.96	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $1,096.48	Professional		$354.81	$707.95	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $109.65 / $158.49	Professional	26	$95.50	$109.65	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $588.84 / $954.99	Professional	TC	$251.19	$588.84	$954.99