Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $147.91 / $186.21	Facility	26	$100.00	$147.91	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $2,511.89	Professional		$331.13	$501.19	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $162.18 / $398.11	Professional	26	$100.00	$162.18	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $870.96	Professional	TC	$239.88	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $741.31	Professional		$245.47	$295.12	$741.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $199.53	Professional	26	$77.62	$109.65	$199.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $295.12	Professional	TC	$229.09	$229.09	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $912.01	Professional		$446.68	$524.81	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $125.89 / $177.83	Professional	26	$102.33	$125.89	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $407.38 / $724.44	Professional	TC	$346.74	$407.38	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $398.11	Professional		$107.15	$229.09	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $120.23 / $169.82	Facility	26	$25.70	$120.23	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,071.52 / $4,570.88	Professional		$407.38	$1,071.52	$4,570.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $181.97 / $537.03	Professional	26	$102.33	$181.97	$537.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $870.96 / $2,398.83	Professional	TC	$281.84	$870.96	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,122.02	Professional		$354.81	$724.44	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $165.96	Professional	26	$97.72	$114.82	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $588.84 / $954.99	Professional	TC	$251.19	$588.84	$954.99