Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.74 / $44.15 / $69.53	Facility	26	$39.74	$44.15	$69.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.39 / $194.58 / $284.92	Professional		$173.39	$194.58	$284.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.74 / $44.00 / $61.46	Professional	26	$39.74	$44.00	$61.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.65 / $150.57 / $230.90	Professional	TC	$133.65	$150.57	$230.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $153.18 / $153.18	Professional		$153.18	$153.18	$153.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $54.91 / $54.91	Professional	26	$54.91	$54.91	$54.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.89 / $246.93 / $294.01	Professional		$209.89	$246.93	$294.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $52.64 / $65.00	Professional	26	$44.74	$52.64	$65.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.34 / $194.29 / $229.74	Professional	TC	$160.34	$194.29	$229.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $69.70 / $268.60	Professional		$45.75	$69.70	$268.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.16 / $52.16 / $52.16	Facility	26	$52.16	$52.16	$52.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.11 / $365.70 / $1,098.05	Professional		$244.11	$365.70	$1,098.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.66 / $76.75 / $227.70	Professional	26	$48.66	$76.75	$227.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.19 / $286.30 / $754.62	Professional	TC	$191.19	$286.30	$754.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.55	Professional		$32.34	$32.34	$197.55
United Facility/Professional Professional Modifier Low / Median / High Price $224.58 / $252.05 / $315.73	Professional		$224.58	$252.05	$315.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.68 / $53.34 / $71.37	Professional	26	$43.68	$53.34	$71.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.03 / $194.48 / $249.23	Professional	TC	$177.03	$194.48	$249.23