Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $263.03 / $346.74	Facility	26	$181.97	$263.03	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $977.24	Professional		$269.15	$323.59	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $199.53 / $389.05	Professional	26	$169.82	$199.53	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $173.78	Professional	TC	$93.33	$114.82	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $512.86	Professional		$239.88	$288.40	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $229.09 / $295.12	Professional	26	$165.96	$229.09	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $380.19	Professional		$234.42	$275.42	$380.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $177.83 / $239.88	Professional	26	$147.91	$177.83	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $102.33 / $138.04	Professional	TC	$87.10	$102.33	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $346.74	Professional		$93.33	$194.98	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $208.93 / $295.12	Facility	26	$44.67	$208.93	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $1,318.26	Professional		$275.42	$489.78	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $309.03 / $851.14	Professional	26	$177.83	$309.03	$851.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $173.78 / $467.74	Professional	TC	$95.50	$173.78	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $588.84	Professional		$275.42	$354.81	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $218.78 / $380.19	Professional	26	$173.78	$218.78	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $128.82 / $213.80	Professional	TC	$100.00	$128.82	$213.80