Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.43 / $130.01 / $192.60	Facility	26	$95.43	$130.01	$192.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.27 / $475.00 / $1,032.08	Professional		$323.27	$475.00	$1,032.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.28 / $140.00 / $322.00	Professional	26	$101.28	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.66 / $296.45 / $413.49	Professional	TC	$221.66	$296.45	$413.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.20 / $251.20 / $251.20	Professional		$251.20	$251.20	$251.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $82.56 / $132.31	Professional	26	$80.95	$82.56	$132.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $296.67 / $412.77	Professional		$296.67	$296.67	$412.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.44 / $90.44 / $123.94	Professional	26	$90.44	$90.44	$123.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.23 / $206.23 / $286.62	Professional	TC	$206.23	$206.23	$286.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $233.30 / $426.51	Professional		$116.37	$233.30	$426.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.62 / $124.62 / $124.62	Facility	26	$124.62	$124.62	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.39 / $541.79 / $843.62	Professional		$327.39	$541.79	$843.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.58 / $161.66 / $258.12	Professional	26	$100.58	$161.66	$258.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.82 / $376.64 / $585.50	Professional	TC	$226.82	$376.64	$585.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $317.52	Professional		$32.34	$32.34	$317.52
United Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $560.89 / $996.47	Professional		$360.74	$560.89	$996.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $113.28 / $168.13	Professional	26	$78.59	$113.28	$168.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.79 / $407.06 / $851.74	Professional	TC	$257.79	$407.06	$851.74