Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $72.44 / $74.13	Facility	26	$69.18	$72.44	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $794.33	Professional		$251.19	$371.54	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $263.03	Professional	26	$69.18	$102.33	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $457.09	Professional	TC	$177.83	$257.04	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	26	$131.83	$131.83	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $758.58	Professional		$354.81	$426.58	$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 $302.00 / $363.08 / $660.69	Professional	TC	$302.00	$363.08	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $104.71	Professional		$66.07	$89.13	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $81.28 / $114.82	Facility	26	$17.38	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $676.08 / $2,089.30	Professional		$309.03	$676.08	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $331.13	Professional	26	$57.54	$112.20	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $562.34 / $1,819.70	Professional	TC	$208.93	$562.34	$1,819.70
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 $251.19 / $446.68 / $645.65	Professional		$251.19	$446.68	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $109.65	Professional	26	$54.95	$69.18	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $389.05 / $575.44	Professional	TC	$177.83	$389.05	$575.44