Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.77 / $81.43 / $88.63	Facility	26	$79.77	$81.43	$88.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $243.78 / $474.42	Professional		$146.62	$243.78	$474.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.94 / $83.18 / $138.49	Professional	26	$56.94	$83.18	$138.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.43 / $123.47 / $306.81	Professional	TC	$63.43	$123.47	$306.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $66.73 / $119.74	Professional	26	$66.73	$66.73	$119.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $231.53 / $730.81	Professional		$182.95	$231.53	$730.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.44 / $71.97 / $113.21	Professional	26	$60.44	$71.97	$113.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.88 / $160.62 / $683.04	Professional	TC	$100.88	$160.62	$683.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $90.89 / $192.44	Professional		$67.11	$90.89	$192.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $378.20 / $817.90	Professional		$163.35	$378.20	$817.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.00 / $104.19 / $183.90	Professional	26	$72.00	$104.19	$183.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.31 / $283.95 / $714.04	Professional	TC	$76.31	$283.95	$714.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.96	Professional		$32.34	$32.34	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $253.16 / $506.11	Professional		$155.10	$253.16	$506.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.83 / $87.75 / $141.13	Professional	26	$60.83	$87.75	$141.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.80 / $108.26 / $434.44	Professional	TC	$66.80	$108.26	$434.44