Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $354.81 / $575.44	Facility	26	$302.00	$354.81	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,041.74	Professional		$977.24	$1,174.90	$2,041.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $436.52 / $645.65	Professional	26	$251.19	$436.52	$645.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $851.14 / $1,445.44	Professional	TC	$676.08	$851.14	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $912.01	Professional		$851.14	$851.14	$912.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $346.74 / $524.81	Professional	26	$251.19	$346.74	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,348.96	Professional		$758.58	$891.25	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $309.03 / $426.58	Professional	26	$263.03	$309.03	$426.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $588.84 / $912.01	Professional	TC	$501.19	$588.84	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $1,202.26	Professional		$295.12	$602.56	$1,202.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $323.59 / $467.74	Facility	26	$70.79	$323.59	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $4,677.35	Professional		$1,230.27	$1,778.28	$4,677.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $549.54 / $1,348.96	Professional	26	$371.54	$549.54	$1,348.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $851.14 / $1,258.93 / $3,311.31	Professional	TC	$851.14	$1,258.93	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,949.84	Professional		$977.24	$1,380.38	$1,949.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $416.87 / $575.44	Professional	26	$295.12	$416.87	$575.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $954.99 / $1,380.38	Professional	TC	$676.08	$954.99	$1,380.38