Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.16 / $69.16 / $73.95	Facility	26	$69.16	$69.16	$73.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $271.33 / $527.79	Professional		$233.64	$271.33	$527.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.16 / $74.25 / $289.00	Professional	26	$69.16	$74.25	$289.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.48 / $190.03 / $368.50	Professional	TC	$164.48	$190.03	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $122.86 / $122.86 / $122.86	Professional	26	$122.86	$122.86	$122.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.63 / $419.47 / $571.13	Professional		$315.63	$419.47	$571.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $66.48 / $99.79	Professional	26	$56.51	$66.48	$99.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.66 / $356.00 / $479.49	Professional	TC	$265.66	$356.00	$479.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $108.75 / $306.38	Professional		$75.63	$108.75	$306.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $81.40 / $81.40	Facility	26	$81.40	$81.40	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.05 / $583.24 / $1,050.08	Professional		$294.05	$583.24	$1,050.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $96.02 / $165.00	Professional	26	$54.87	$96.02	$165.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.69 / $511.10 / $944.66	Professional	TC	$209.69	$511.10	$944.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.52	Professional		$32.34	$32.34	$311.52
United Facility/Professional Professional Modifier Low / Median / High Price $245.07 / $419.00 / $622.15	Professional		$245.07	$419.00	$622.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.06 / $76.31 / $137.79	Professional	26	$55.06	$76.31	$137.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.91 / $303.69 / $569.39	Professional	TC	$176.91	$303.69	$569.39