Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.35 / $99.40 / $175.95	Facility	26	$92.35	$99.40	$175.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $434.02 / $900.21	Professional		$324.00	$434.02	$900.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.59 / $99.45 / $229.37	Professional	26	$89.59	$99.45	$229.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.64 / $314.38 / $535.46	Professional	TC	$231.64	$314.38	$535.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $333.86 / $450.08	Professional		$247.62	$333.86	$450.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $99.49 / $114.91	Professional	26	$70.45	$99.49	$114.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $211.66 / $211.66 / $211.66	Professional	TC	$211.66	$211.66	$211.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.22 / $334.15 / $481.06	Professional		$273.22	$334.15	$481.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.28 / $96.02 / $152.99	Professional	26	$82.28	$96.02	$152.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.00 / $238.14 / $342.26	Professional	TC	$180.00	$238.14	$342.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $243.41 / $420.07	Professional		$101.27	$243.41	$420.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.46 / $108.46 / $108.46	Facility	26	$108.46	$108.46	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.95 / $545.92 / $981.92	Professional		$361.95	$545.92	$981.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.00 / $137.40 / $224.86	Professional	26	$89.00	$137.40	$224.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $264.44 / $395.61 / $757.06	Professional	TC	$264.44	$395.61	$757.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $390.07	Professional		$32.34	$32.34	$390.07
United Facility/Professional Professional Modifier Low / Median / High Price $336.92 / $425.48 / $662.75	Professional		$336.92	$425.48	$662.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.36 / $105.86 / $157.22	Professional	26	$91.36	$105.86	$157.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.80 / $315.80 / $454.05	Professional	TC	$235.80	$315.80	$454.05