Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $50.12 / $85.11	Facility	26	$44.67	$50.12	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $676.08	Professional		$128.82	$223.87	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $190.55	Professional	26	$43.65	$60.26	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $141.25 / $309.03	Professional	TC	$81.28	$141.25	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $288.40	Professional		$87.10	$97.72	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $48.98 / $85.11	Professional	26	$35.48	$48.98	$85.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $89.13 / $104.71	Professional	TC	$89.13	$89.13	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $467.74	Professional		$177.83	$204.17	$467.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $61.66 / $104.71	Professional	26	$57.54	$61.66	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $125.89 / $346.74	Professional	TC	$114.82	$125.89	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $154.88	Professional		$47.86	$83.18	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $53.70 / $75.86	Facility	26	$11.48	$53.70	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $1,230.27	Professional		$169.82	$380.19	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $93.33 / $275.42	Professional	26	$46.77	$93.33	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $269.15 / $741.31	Professional	TC	$100.00	$269.15	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $338.84	Professional		$141.25	$245.47	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $91.20	Professional	26	$46.77	$57.54	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $190.55 / $269.15	Professional	TC	$95.50	$190.55	$269.15