Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $79.43 / $102.33	Facility	26	$54.95	$79.43	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $602.56	Professional		$234.42	$354.81	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $85.11 / $147.91	Professional	26	$56.23	$85.11	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $457.09	Professional	TC	$173.78	$257.04	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $66.07	Professional	26	$42.66	$42.66	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $758.58	Professional		$346.74	$407.38	$758.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $66.07 / $109.65	Professional	26	$63.10	$66.07	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $338.84 / $660.69	Professional	TC	$281.84	$338.84	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $83.18	Professional		$52.48	$70.79	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $630.96 / $2,089.30	Professional		$234.42	$630.96	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $104.71 / $281.84	Professional	26	$54.95	$104.71	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $549.54 / $1,737.80	Professional	TC	$204.17	$549.54	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
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 $52.48 / $61.66 / $91.20	Professional	26	$52.48	$61.66	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $389.05 / $549.54	Professional	TC	$173.78	$389.05	$549.54