Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.40 / $135.59 / $244.01	Facility	26	$113.40	$135.59	$244.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $744.84 / $1,358.61	Professional		$547.67	$744.84	$1,358.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.40 / $145.11 / $537.00	Professional	26	$113.40	$145.11	$537.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $273.83 / $307.55 / $445.15	Professional	52	$273.83	$307.55	$445.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $434.27 / $602.07 / $1,013.46	Professional	TC	$434.27	$602.07	$1,013.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $607.23 / $815.75 / $815.75	Professional		$607.23	$815.75	$815.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $108.48 / $141.02 / $151.87	Professional	26	$108.48	$141.02	$151.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.52 / $576.11 / $871.85	Professional		$469.52	$576.11	$871.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.31 / $119.68 / $180.82	Professional	26	$101.31	$119.68	$180.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $368.21 / $466.29 / $686.74	Professional	TC	$368.21	$466.29	$686.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $500.65 / $761.36	Professional		$119.33	$500.65	$761.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.97 / $133.97 / $133.97	Facility	26	$133.97	$133.97	$133.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $893.35 / $1,354.74	Professional		$600.00	$893.35	$1,354.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.59 / $198.71 / $323.45	Professional	26	$124.59	$198.71	$323.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $455.00 / $696.82 / $1,069.03	Professional	TC	$455.00	$696.82	$1,069.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $130.12 / $564.11	Professional		$32.34	$130.12	$564.11
United Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $813.83 / $1,190.76	Professional		$553.84	$813.83	$1,190.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.06 / $164.75 / $251.54	Professional	26	$112.06	$164.75	$251.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $435.35 / $627.58 / $909.82	Professional	TC	$435.35	$627.58	$909.82