Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.69 / $158.94 / $222.58	Facility	26	$105.69	$158.94	$222.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.97 / $475.00 / $1,167.33	Professional		$305.97	$475.00	$1,167.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.69 / $150.03 / $372.95	Professional	26	$105.69	$150.03	$372.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.28 / $335.00 / $718.71	Professional	TC	$200.28	$335.00	$718.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $428.40 / $428.40	Professional		$235.20	$428.40	$428.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.17 / $91.49 / $126.83	Professional	26	$81.17	$91.49	$126.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $184.14 / $184.14 / $184.14	Professional	TC	$184.14	$184.14	$184.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.56 / $414.42 / $694.80	Professional		$343.56	$414.42	$694.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.75 / $129.41 / $203.34	Professional	26	$107.75	$129.41	$203.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.82 / $285.00 / $533.78	Professional	TC	$235.82	$285.00	$533.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $220.97 / $399.84	Professional		$112.11	$220.97	$399.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $883.06 / $1,650.60	Professional		$383.36	$883.06	$1,650.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.64 / $172.96 / $291.68	Professional	26	$111.64	$172.96	$291.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.57 / $695.23 / $1,440.60	Professional	TC	$254.57	$695.23	$1,440.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $699.31	Professional		$32.34	$32.34	$699.31
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $628.67 / $1,076.72	Professional		$333.69	$628.67	$1,076.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.79 / $129.02 / $175.94	Professional	26	$107.79	$129.02	$175.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.90 / $314.38 / $883.73	Professional	TC	$225.90	$314.38	$883.73