Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.50 / $71.72 / $102.05	Facility	26	$53.50	$71.72	$102.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $270.98 / $496.00	Professional		$190.77	$270.98	$496.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.17 / $55.77 / $117.05	Professional	26	$53.17	$55.77	$117.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.27 / $195.69 / $364.76	Professional	TC	$137.27	$195.69	$364.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.72 / $61.00 / $63.64	Professional	26	$40.72	$61.00	$63.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.10 / $238.94 / $365.29	Professional		$203.10	$238.94	$365.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.81 / $64.48 / $95.01	Professional	26	$54.81	$64.48	$95.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.28 / $174.45 / $262.08	Professional	TC	$148.28	$174.45	$262.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $82.51 / $263.75	Professional		$58.45	$82.51	$263.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $357.57 / $574.79	Professional		$229.03	$357.57	$574.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.72 / $85.99 / $132.00	Professional	26	$50.72	$85.99	$132.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.06 / $272.48 / $463.66	Professional	TC	$173.06	$272.48	$463.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.79	Professional		$32.34	$32.34	$217.79
United Facility/Professional Professional Modifier Low / Median / High Price $204.01 / $266.98 / $392.40	Professional		$204.01	$266.98	$392.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $60.32 / $88.79	Professional	26	$51.22	$60.32	$88.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.71 / $211.31 / $296.24	Professional	TC	$145.71	$211.31	$296.24