Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $97.72 / $134.90	Facility	26	$72.44	$97.72	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $707.95	Professional		$190.55	$245.47	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $162.18	Professional	26	$64.57	$85.11	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $338.84	Professional	TC	$123.03	$158.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $169.82	Professional	26	$91.20	$91.20	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $257.04	Professional		$186.21	$186.21	$257.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $87.10	Professional	26	$63.10	$63.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $125.89 / $169.82	Professional	TC	$125.89	$125.89	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $114.82	Professional		$70.79	$95.50	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $85.11 / $123.03	Facility	26	$18.62	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $1,047.13	Professional		$223.87	$436.52	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $131.83 / $354.81	Professional	26	$70.79	$131.83	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $269.15 / $691.83	Professional	TC	$147.91	$269.15	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $707.95 / $1,023.29	Professional		$229.09	$707.95	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $83.18 / $123.03	Professional	26	$70.79	$83.18	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $549.54 / $891.25	Professional	TC	$151.36	$549.54	$891.25