Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.82 / $59.68 / $104.54	Facility	26	$54.82	$59.68	$104.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $223.90 / $694.00	Professional		$130.55	$223.90	$694.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.42 / $57.13 / $130.07	Professional	26	$54.42	$57.13	$130.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $143.43 / $229.16	Professional	TC	$75.73	$143.43	$229.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $57.39 / $73.04	Professional	26	$41.68	$57.39	$73.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $179.67 / $329.90	Professional		$136.15	$179.67	$329.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.15 / $66.06 / $98.77	Professional	26	$56.15	$66.06	$98.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.98 / $104.73 / $240.00	Professional	TC	$79.98	$104.73	$240.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $87.95 / $171.54	Professional		$59.87	$87.95	$171.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.44 / $64.44 / $64.44	Facility	26	$64.44	$64.44	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $279.24 / $498.80	Professional		$163.72	$279.24	$498.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $84.34 / $135.19	Professional	26	$51.97	$84.34	$135.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.88 / $195.21 / $368.75	Professional	TC	$96.88	$195.21	$368.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.29	Professional		$32.34	$32.34	$159.29
United Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $212.21 / $298.12	Professional		$139.41	$212.21	$298.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $63.89 / $91.49	Professional	26	$52.07	$63.89	$91.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.50 / $135.88 / $229.66	Professional	TC	$81.50	$135.88	$229.66