Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.84 / $90.31 / $159.72	Facility	26	$83.84	$90.31	$159.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $392.89 / $729.17	Professional		$241.23	$392.89	$729.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.98 / $93.76 / $335.70	Professional	26	$82.98	$93.76	$335.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $309.93 / $561.36	Professional	TC	$157.38	$309.93	$561.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $236.60 / $301.67	Professional		$207.15	$236.60	$301.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.86 / $93.63 / $104.34	Professional	26	$63.86	$93.63	$104.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $146.84 / $156.34 / $156.34	Professional	TC	$146.84	$156.34	$156.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $349.13 / $509.64	Professional		$273.45	$349.13	$509.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.04 / $83.58 / $130.12	Professional	26	$71.04	$83.58	$130.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $267.98 / $345.93	Professional	TC	$190.00	$267.98	$345.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $196.43 / $351.50	Professional		$88.69	$196.43	$351.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.41 / $98.41 / $98.41	Facility	26	$98.41	$98.41	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.77 / $545.00 / $964.49	Professional		$335.77	$545.00	$964.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.33 / $130.00 / $217.52	Professional	26	$84.33	$130.00	$217.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.86 / $406.58 / $746.97	Professional	TC	$233.86	$406.58	$746.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.12	Professional		$32.34	$32.34	$294.12
United Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $457.04 / $602.04	Professional		$269.52	$457.04	$602.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.96 / $97.70 / $139.66	Professional	26	$82.96	$97.70	$139.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.37 / $361.99 / $455.40	Professional	TC	$195.37	$361.99	$455.40