Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.17 / $138.66 / $198.35	Facility	26	$101.17	$138.66	$198.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $475.00 / $2,207.11	Professional		$322.14	$475.00	$2,207.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.17 / $140.00 / $352.49	Professional	26	$101.17	$140.00	$352.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.98 / $335.00 / $825.76	Professional	TC	$220.98	$335.00	$825.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $374.26 / $374.26	Professional		$247.06	$374.26	$374.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.28 / $87.43 / $121.40	Professional	26	$77.28	$87.43	$121.40
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $202.30 / $202.30 / $202.30	Professional	TC	$202.30	$202.30	$202.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.38 / $527.99 / $816.34	Professional		$395.38	$527.99	$816.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $120.93 / $174.70	Professional	26	$98.00	$120.93	$174.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $403.43 / $592.79	Professional	TC	$285.00	$403.43	$592.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $232.65 / $419.17	Professional		$111.10	$232.65	$419.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.19 / $889.25 / $1,619.40	Professional		$403.19	$889.25	$1,619.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.65 / $157.50 / $254.91	Professional	26	$98.65	$157.50	$254.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $279.89 / $757.72 / $1,434.60	Professional	TC	$279.89	$757.72	$1,434.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $683.09	Professional		$32.34	$32.34	$683.09
United Facility/Professional Professional Modifier Low / Median / High Price $355.80 / $594.92 / $1,060.60	Professional		$355.80	$594.92	$1,060.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.30 / $114.04 / $158.37	Professional	26	$98.30	$114.04	$158.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.00 / $591.65 / $895.79	Professional	TC	$252.00	$591.65	$895.79