Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $70.92 / $98.91	Facility	26	$55.06	$70.92	$98.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $417.07 / $1,167.00	Professional		$338.67	$417.07	$1,167.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $59.78 / $244.00	Professional	26	$51.32	$59.78	$244.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $360.94 / $667.73	Professional	TC	$287.33	$360.94	$667.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $437.19 / $543.51	Professional		$365.98	$437.19	$543.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $64.29 / $68.34	Professional	26	$51.43	$64.29	$68.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $354.90 / $510.73	Professional		$175.67	$354.90	$510.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.64 / $57.72 / $114.36	Professional	26	$47.64	$57.72	$114.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.86 / $265.18 / $449.61	Professional	TC	$121.86	$265.18	$449.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $387.30 / $547.39	Professional		$56.57	$387.30	$547.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.91 / $409.17 / $734.96	Professional		$213.91	$409.17	$734.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.23 / $75.56 / $115.95	Professional	26	$53.23	$75.56	$115.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.19 / $349.81 / $649.15	Professional	TC	$157.19	$349.81	$649.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.27 / $197.16	Professional		$32.34	$41.27	$197.16
United Facility/Professional Professional Modifier Low / Median / High Price $199.10 / $394.79 / $815.32	Professional		$199.10	$394.79	$815.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.26 / $72.25 / $119.07	Professional	26	$49.26	$72.25	$119.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.35 / $344.82 / $699.24	Professional	TC	$139.35	$344.82	$699.24