Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.01 / $79.15 / $147.36	Facility	26	$75.01	$79.15	$147.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $475.00 / $1,020.07	Professional		$297.77	$475.00	$1,020.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.01 / $117.58 / $208.60	Professional	26	$75.01	$117.58	$208.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $222.76 / $335.00 / $451.32	Professional	TC	$222.76	$335.00	$451.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $241.83	Professional		$227.60	$227.60	$241.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.19 / $71.39 / $85.67	Professional	26	$57.19	$71.39	$85.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.86 / $397.29 / $617.94	Professional		$327.86	$397.29	$617.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $87.49 / $121.68	Professional	26	$66.80	$87.49	$121.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.00 / $307.17 / $473.68	Professional	TC	$260.00	$307.17	$473.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $233.62 / $384.50	Professional		$82.03	$233.62	$384.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.30 / $88.30 / $88.30	Facility	26	$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.24 / $625.29 / $1,061.53	Professional		$374.24	$625.29	$1,061.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.50 / $113.84 / $184.16	Professional	26	$70.50	$113.84	$184.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.58 / $500.03 / $877.37	Professional	TC	$282.58	$500.03	$877.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.25	Professional		$32.34	$32.34	$368.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.73 / $487.53 / $660.05	Professional		$331.73	$487.53	$660.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.70 / $87.29 / $120.57	Professional	26	$70.70	$87.29	$120.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.23 / $377.03 / $556.25	Professional	TC	$250.23	$377.03	$556.25