Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.18 / $103.43 / $193.87	Facility	26	$99.18	$103.43	$193.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.23 / $475.00 / $1,124.30	Professional		$322.23	$475.00	$1,124.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.18 / $140.00 / $471.85	Professional	26	$99.18	$140.00	$471.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.06 / $335.00 / $595.54	Professional	TC	$223.06	$335.00	$595.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $247.20 / $256.76	Professional		$247.20	$247.20	$256.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.75 / $100.40 / $119.03	Professional	26	$75.75	$100.40	$119.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.25 / $524.94 / $714.38	Professional		$368.25	$524.94	$714.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.40 / $114.88 / $163.65	Professional	26	$91.40	$114.88	$163.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.17 / $406.61 / $597.59	Professional	TC	$275.17	$406.61	$597.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $234.92 / $419.30	Professional		$104.74	$234.92	$419.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.42 / $895.65 / $1,607.40	Professional		$403.42	$895.65	$1,607.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.96 / $150.68 / $242.93	Professional	26	$93.96	$150.68	$242.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.95 / $773.25 / $1,431.60	Professional	TC	$282.95	$773.25	$1,431.60
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 $355.91 / $587.52 / $1,040.84	Professional		$355.91	$587.52	$1,040.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.44 / $114.69 / $153.09	Professional	26	$93.44	$114.69	$153.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.73 / $430.36 / $891.69	Professional	TC	$250.73	$430.36	$891.69