Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.72 / $120.15 / $209.13	Facility	26	$109.72	$120.15	$209.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $339.00 / $628.14	Professional		$267.10	$339.00	$628.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.29 / $115.25 / $249.27	Professional	26	$105.29	$115.25	$249.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $235.21 / $373.84	Professional	TC	$157.38	$235.21	$373.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $288.87 / $288.87	Professional		$245.26	$288.87	$288.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.23 / $112.36 / $136.88	Professional	26	$84.23	$112.36	$136.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $157.93 / $157.93 / $157.93	Professional	TC	$157.93	$157.93	$157.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.66 / $349.39 / $696.01	Professional		$299.66	$349.39	$696.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.50 / $129.38 / $179.97	Professional	26	$110.50	$129.38	$179.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $219.39 / $556.63	Professional	TC	$190.00	$219.39	$556.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $221.25 / $404.42	Professional		$120.59	$221.25	$404.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.79 / $598.30 / $1,027.34	Professional		$371.79	$598.30	$1,027.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.67 / $155.47 / $265.44	Professional	26	$100.67	$155.47	$265.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $440.15 / $802.32	Professional	TC	$249.53	$440.15	$802.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $375.53	Professional		$32.34	$32.34	$375.53
United Facility/Professional Professional Modifier Low / Median / High Price $335.17 / $470.74 / $748.01	Professional		$335.17	$470.74	$748.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.96 / $129.22 / $181.35	Professional	26	$106.96	$129.22	$181.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.88 / $329.27 / $577.29	Professional	TC	$212.88	$329.27	$577.29