Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.48 / $99.65 / $141.35	Facility	26	$71.48	$99.65	$141.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.06 / $460.77 / $999.53	Professional		$298.06	$460.77	$999.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.01 / $99.24 / $186.97	Professional	26	$75.01	$99.24	$186.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.06 / $302.75 / $536.10	Professional	TC	$223.06	$302.75	$536.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $228.80 / $243.10	Professional		$228.80	$228.80	$243.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $68.54 / $89.36	Professional	26	$57.11	$68.54	$89.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.21 / $402.55 / $623.04	Professional		$332.21	$402.55	$623.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $87.80 / $121.68	Professional	26	$66.80	$87.80	$121.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.00 / $312.12 / $478.79	Professional	TC	$260.00	$312.12	$478.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $235.26 / $386.48	Professional		$78.64	$235.26	$386.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.62 / $627.69 / $1,075.63	Professional		$374.62	$627.69	$1,075.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.95 / $113.84 / $185.50	Professional	26	$70.95	$113.84	$185.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $283.35 / $503.23 / $899.70	Professional	TC	$283.35	$503.23	$899.70
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 $341.92 / $508.03 / $688.70	Professional		$341.92	$508.03	$688.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.70 / $85.60 / $150.71	Professional	26	$70.70	$85.60	$150.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.86 / $377.99 / $566.28	Professional	TC	$250.86	$377.99	$566.28