Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $123.70 / $151.83	Professional		$123.70	$123.70	$151.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.16 / $48.16 / $60.33	Professional	26	$48.16	$48.16	$60.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.54 / $75.54 / $91.50	Professional	TC	$75.54	$75.54	$91.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $105.00 / $107.10	Professional		$89.08	$105.00	$107.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.61 / $54.61 / $58.81	Professional	26	$33.61	$54.61	$58.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $131.37 / $184.86	Professional		$102.26	$131.37	$184.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $36.53 / $66.01	Professional	26	$29.80	$36.53	$66.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.34 / $85.25 / $119.11	Professional	TC	$70.34	$85.25	$119.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $78.73 / $147.00	Professional		$48.31	$78.73	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $194.96 / $194.96	Professional		$194.96	$194.96	$194.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.73 / $54.73 / $54.73	Professional	26	$54.73	$54.73	$54.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.22 / $140.22 / $140.22	Professional	TC	$140.22	$140.22	$140.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.50	Professional		$32.34	$32.34	$115.50
United Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $151.34 / $220.60	Professional		$107.86	$151.34	$220.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.85 / $46.03 / $66.27	Professional	26	$38.85	$46.03	$66.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.51 / $111.62 / $155.96	Professional	TC	$66.51	$111.62	$155.96