Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.08 / $71.08 / $74.98	Facility	26	$71.08	$71.08	$74.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $374.90 / $468.16	Professional		$342.85	$374.90	$468.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $74.05 / $80.59	Professional	26	$68.56	$74.05	$80.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $299.92 / $387.57	Professional	TC	$274.27	$299.92	$387.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.99 / $84.99 / $114.02	Professional	26	$84.99	$84.99	$114.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.63 / $355.57 / $550.34	Professional		$354.63	$355.57	$550.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.98 / $74.98 / $105.57	Professional	26	$74.98	$74.98	$105.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.33 / $280.58 / $443.18	Professional	TC	$276.33	$280.58	$443.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $108.78 / $506.93	Professional		$78.19	$108.78	$506.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.60 / $702.49 / $1,819.45	Professional		$547.60	$702.49	$1,819.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.37 / $129.49 / $338.32	Professional	26	$85.37	$129.49	$338.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $440.06 / $569.25 / $1,481.14	Professional	TC	$440.06	$569.25	$1,481.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $371.31	Professional		$32.34	$32.34	$371.31
United Facility/Professional Professional Modifier Low / Median / High Price $337.79 / $460.50 / $575.01	Professional		$337.79	$460.50	$575.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $90.36 / $116.94	Professional	26	$78.68	$90.36	$116.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $258.38 / $368.85 / $500.43	Professional	TC	$258.38	$368.85	$500.43