Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.71 / $58.71 / $78.79	Facility	26	$58.71	$58.71	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.69 / $202.30 / $383.66	Professional		$187.69	$202.30	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $59.24 / $82.25	Professional	26	$54.56	$59.24	$82.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.97 / $141.02 / $325.76	Professional	TC	$128.97	$141.02	$325.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $66.73 / $69.53	Professional	26	$45.08	$66.73	$69.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $290.83 / $441.63	Professional		$240.00	$290.83	$441.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.51 / $70.02 / $104.75	Professional	26	$59.51	$70.02	$104.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $220.81 / $329.05	Professional	TC	$171.62	$220.81	$329.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $91.77 / $245.10	Professional		$63.82	$91.77	$245.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $462.24 / $751.46	Professional		$236.12	$462.24	$751.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.61 / $93.38 / $143.97	Professional	26	$55.61	$93.38	$143.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.98 / $344.40 / $601.46	Professional	TC	$164.98	$344.40	$601.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $248.28	Professional		$32.34	$32.34	$248.28
United Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $353.94 / $476.11	Professional		$212.54	$353.94	$476.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.20 / $64.59 / $95.68	Professional	26	$56.20	$64.59	$95.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.19 / $297.89 / $366.10	Professional	TC	$160.19	$297.89	$366.10