Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.43 / $62.50 / $109.56	Facility	26	$57.43	$62.50	$109.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.13 / $265.33 / $427.97	Professional		$186.13	$265.33	$427.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $62.95 / $136.12	Professional	26	$57.44	$62.95	$136.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.69 / $193.63 / $358.01	Professional	TC	$128.69	$193.63	$358.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.84 / $60.47 / $102.49	Professional	26	$43.84	$60.47	$102.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $294.94 / $450.98	Professional		$237.44	$294.94	$450.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.13 / $75.91 / $112.76	Professional	26	$63.13	$75.91	$112.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.26 / $219.03 / $328.47	Professional	TC	$169.26	$219.03	$328.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $137.37 / $244.19	Professional		$60.74	$137.37	$244.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.54 / $67.54 / $67.54	Facility	26	$67.54	$67.54	$67.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.32 / $451.72 / $751.83	Professional		$234.32	$451.72	$751.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.02 / $96.93 / $165.86	Professional	26	$60.02	$96.93	$165.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.22 / $343.81 / $602.09	Professional	TC	$164.22	$343.81	$602.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $248.28	Professional		$32.34	$32.34	$248.28
United Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $347.88 / $478.42	Professional		$212.12	$347.88	$478.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.90 / $71.70 / $105.56	Professional	26	$60.90	$71.70	$105.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.81 / $247.95 / $406.98	Professional	TC	$143.81	$247.95	$406.98