Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $117.49 / $151.36	Facility	26	$83.18	$117.49	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $691.83	Professional		$239.88	$323.59	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $208.93	Professional	26	$70.79	$95.50	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $389.05	Professional	TC	$158.49	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $162.18	Professional	26	$64.57	$89.13	$162.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $229.09	Professional	TC	$173.78	$173.78	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $524.81	Professional		$331.13	$354.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $79.43 / $128.82	Professional	26	$75.86	$79.43	$128.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $281.84 / $436.52	Professional	TC	$234.42	$281.84	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $128.82	Professional		$72.44	$104.71	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $141.25	Facility	26	$20.89	$97.72	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $1,819.70	Professional		$309.03	$616.60	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $147.91 / $457.09	Professional	26	$85.11	$147.91	$457.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $501.19 / $1,412.54	Professional	TC	$223.87	$501.19	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $645.65	Professional		$288.40	$467.74	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $95.50 / $154.88	Professional	26	$83.18	$95.50	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $371.54 / $501.19	Professional	TC	$199.53	$371.54	$501.19