Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.92 / $119.32 / $161.75	Facility	26	$82.92	$119.32	$161.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.63 / $475.00 / $606.86	Professional		$316.63	$475.00	$606.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.92 / $128.85 / $156.99	Professional	26	$82.92	$128.85	$156.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.71 / $335.00 / $462.74	Professional	TC	$233.71	$335.00	$462.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $63.83 / $92.41	Professional	26	$63.83	$63.83	$92.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.89 / $423.40 / $651.79	Professional		$359.89	$423.40	$651.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.66 / $99.60 / $147.16	Professional	26	$84.66	$99.60	$147.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.23 / $323.80 / $492.98	Professional	TC	$275.23	$323.80	$492.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $127.65 / $439.21	Professional		$90.38	$127.65	$439.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.66 / $627.40 / $1,055.35	Professional		$398.66	$627.40	$1,055.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.70 / $133.63 / $205.64	Professional	26	$79.70	$133.63	$205.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.13 / $499.32 / $877.18	Professional	TC	$298.13	$499.32	$877.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $383.12	Professional		$32.34	$32.34	$383.12
United Facility/Professional Professional Modifier Low / Median / High Price $339.53 / $478.37 / $689.58	Professional		$339.53	$478.37	$689.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $94.43 / $132.27	Professional	26	$79.36	$94.43	$132.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.66 / $388.00 / $556.25	Professional	TC	$259.66	$388.00	$556.25