Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.18 / $132.01 / $194.47	Facility	26	$99.18	$132.01	$194.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.57 / $475.00 / $1,073.64	Professional		$390.57	$475.00	$1,073.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.18 / $140.00 / $322.00	Professional	26	$99.18	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $291.39 / $335.00 / $887.84	Professional	TC	$291.39	$335.00	$887.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $299.08 / $325.24	Professional		$299.08	$299.08	$325.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.23 / $111.69 / $119.03	Professional	26	$77.23	$111.69	$119.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.63 / $522.11 / $726.20	Professional		$368.63	$522.11	$726.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.80 / $115.23 / $163.65	Professional	26	$91.80	$115.23	$163.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.76 / $403.43 / $597.59	Professional	TC	$293.76	$403.43	$597.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $152.35 / $539.54	Professional		$103.30	$152.35	$539.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.73 / $890.69 / $1,608.60	Professional		$489.73	$890.69	$1,608.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.96 / $151.87 / $243.65	Professional	26	$93.96	$151.87	$243.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $368.90 / $758.44 / $1,432.20	Professional	TC	$368.90	$758.44	$1,432.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $380.95	Professional		$32.34	$32.34	$380.95
United Facility/Professional Professional Modifier Low / Median / High Price $434.75 / $626.69 / $1,026.74	Professional		$434.75	$626.69	$1,026.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.75 / $115.54 / $153.60	Professional	26	$93.75	$115.54	$153.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.45 / $570.80 / $872.21	Professional	TC	$332.45	$570.80	$872.21