Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $28.07 / $50.08	Facility	26	$25.22	$28.07	$50.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $91.09 / $184.98	Professional		$81.68	$91.09	$184.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $28.02 / $61.97	Professional	26	$21.12	$28.02	$61.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.71 / $65.61 / $117.35	Professional	TC	$56.71	$65.61	$117.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $126.20 / $126.20	Professional		$93.53	$126.20	$126.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $21.23 / $31.84	Professional	26	$21.15	$21.23	$31.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $79.81 / $125.96	Professional		$67.84	$79.81	$125.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $25.36 / $40.68	Professional	26	$21.55	$25.36	$40.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.33 / $54.45 / $88.69	Professional	TC	$44.33	$54.45	$88.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $66.23 / $117.78	Professional		$30.41	$66.23	$117.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $114.03 / $184.78	Professional		$74.41	$114.03	$184.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.57 / $35.44 / $52.16	Professional	26	$24.57	$35.44	$52.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.36 / $81.09 / $131.68	Professional	TC	$52.36	$81.09	$131.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.09	Professional		$32.34	$32.34	$75.09
United Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $94.43 / $135.72	Professional		$66.76	$94.43	$135.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.05 / $29.47 / $44.22	Professional	26	$21.05	$29.47	$44.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.50 / $63.57 / $90.32	Professional	TC	$45.50	$63.57	$90.32