Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.66 / $69.05 / $112.74	Facility	26	$55.66	$69.05	$112.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $289.25 / $345.38	Professional		$256.95	$289.25	$345.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $60.42 / $66.45	Professional	26	$55.66	$60.42	$66.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.28 / $227.64 / $284.95	Professional	TC	$201.28	$227.64	$284.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $226.53 / $226.53	Professional		$226.53	$226.53	$226.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $289.49 / $413.45	Professional		$210.79	$289.49	$413.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.65 / $90.46	Professional	26	$54.95	$64.65	$90.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.71 / $224.84 / $330.15	Professional	TC	$163.71	$224.84	$330.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $97.60 / $413.70	Professional		$68.02	$97.60	$413.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.06 / $73.06 / $73.06	Facility	26	$73.06	$73.06	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $499.17 / $1,431.25	Professional		$266.85	$499.17	$1,431.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $108.37 / $294.64	Professional	26	$68.84	$108.37	$294.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.41 / $398.88 / $1,136.59	Professional	TC	$186.41	$398.88	$1,136.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.60	Professional		$32.34	$32.34	$292.60
United Facility/Professional Professional Modifier Low / Median / High Price $303.22 / $398.14 / $487.73	Professional		$303.22	$398.14	$487.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $88.91 / $118.99	Professional	26	$68.56	$88.91	$118.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.55 / $313.19 / $375.34	Professional	TC	$231.55	$313.19	$375.34