Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.24 / $85.45 / $97.31	Facility	26	$83.24	$85.45	$97.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.32 / $297.43 / $1,117.00	Professional		$238.32	$297.43	$1,117.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.45 / $97.31 / $378.00	Professional	26	$85.45	$97.31	$378.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.09 / $165.09 / $261.02	Professional	TC	$144.09	$165.09	$261.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.43 / $104.43 / $104.72	Professional	26	$104.43	$104.43	$104.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $247.49 / $380.93	Professional		$201.89	$247.49	$380.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.27 / $96.65 / $131.44	Professional	26	$78.27	$96.65	$131.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.61 / $145.43 / $236.27	Professional	TC	$123.61	$145.43	$236.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $145.56 / $283.14	Professional		$81.91	$145.56	$283.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $350.67 / $509.44	Professional		$217.72	$350.67	$509.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.51 / $129.16 / $189.94	Professional	26	$82.51	$129.16	$189.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.99 / $210.10 / $337.72	Professional	TC	$134.99	$210.10	$337.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.21	Professional		$32.34	$32.34	$185.21
United Facility/Professional Professional Modifier Low / Median / High Price $222.61 / $308.02 / $420.82	Professional		$222.61	$308.02	$420.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.18 / $119.96 / $161.63	Professional	26	$84.18	$119.96	$161.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.72 / $186.85 / $260.04	Professional	TC	$136.72	$186.85	$260.04