Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $69.18 / $117.49	Facility	26	$64.57	$69.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $954.99	Professional		$223.87	$338.84	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $169.82	Professional	26	$61.66	$83.18	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $524.81	Professional	TC	$158.49	$218.78	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $562.34	Professional		$117.49	$218.78	$562.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $125.89	Professional	26	$48.98	$67.61	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $331.13	Professional	TC	$144.54	$204.17	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $537.03	Professional		$275.42	$316.23	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $77.62 / $128.82	Professional	26	$74.13	$77.62	$128.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $213.80 / $416.87	Professional	TC	$199.53	$213.80	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $190.55 / $309.03	Professional		$67.61	$190.55	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $107.15	Facility	26	$16.22	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $1,698.24	Professional		$275.42	$512.86	$1,698.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $331.13	Professional	26	$64.57	$120.23	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $416.87 / $1,318.26	Professional	TC	$199.53	$416.87	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $524.81	Professional		$245.47	$371.54	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $120.23	Professional	26	$61.66	$72.44	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $295.12 / $416.87	Professional	TC	$177.83	$295.12	$416.87