Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $77.62 / $134.90	Facility	26	$72.44	$77.62	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $1,122.02	Professional		$354.81	$489.78	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $173.78	Professional	26	$66.07	$91.20	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $354.81 / $562.34	Professional	TC	$288.40	$354.81	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $812.83	Professional		$302.00	$426.58	$812.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $147.91	Professional	26	$58.88	$77.62	$147.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $309.03 / $316.23	Professional	TC	$309.03	$309.03	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $602.56	Professional		$338.84	$398.11	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $107.15	Professional	26	$64.57	$75.86	$107.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $323.59 / $489.78	Professional	TC	$269.15	$323.59	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $489.78	Professional		$79.43	$158.49	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $85.11 / $123.03	Facility	26	$18.20	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,949.84	Professional		$389.05	$758.58	$1,949.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $151.36 / $346.74	Professional	26	$93.33	$151.36	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $691.83 / $1,621.81	Professional	TC	$363.08	$691.83	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $794.33	Professional		$457.09	$588.84	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $141.25	Professional	26	$81.28	$107.15	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $489.78 / $660.69	Professional	TC	$371.54	$489.78	$660.69