Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.10 / $88.46 / $112.79	Facility	26	$55.10	$88.46	$112.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $277.06 / $1,067.00	Professional		$244.44	$277.06	$1,067.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.93 / $93.06 / $361.65	Professional	26	$52.93	$93.06	$361.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $196.93 / $357.62	Professional	TC	$162.34	$196.93	$357.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $169.24 / $203.85	Professional		$169.24	$169.24	$203.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $55.73 / $63.33	Professional	26	$41.11	$55.73	$63.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $263.45 / $263.45 / $263.45	Professional	TC	$263.45	$263.45	$263.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $243.05 / $377.21	Professional		$184.57	$243.05	$377.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.67 / $84.71 / $121.01	Professional	26	$63.67	$84.71	$121.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.57 / $148.41 / $279.58	Professional	TC	$112.57	$148.41	$279.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $201.99 / $316.83	Professional		$55.73	$201.99	$316.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $402.50 / $664.95	Professional		$257.80	$402.50	$664.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $104.83 / $173.56	Professional	26	$54.82	$104.83	$173.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.73 / $296.83 / $498.91	Professional	TC	$198.73	$296.83	$498.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.51	Professional		$32.34	$32.34	$205.51
United Facility/Professional Professional Modifier Low / Median / High Price $259.61 / $372.31 / $526.89	Professional		$259.61	$372.31	$526.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.82 / $89.91 / $127.49	Professional	26	$57.82	$89.91	$127.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.41 / $278.60 / $409.40	Professional	TC	$200.41	$278.60	$409.40