Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.28 / $25.12 / $44.72	Facility	26	$22.28	$25.12	$44.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $115.15 / $220.59	Professional		$92.14	$115.15	$220.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $26.11 / $60.24	Professional	26	$22.87	$26.11	$60.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $90.55 / $165.99	Professional	TC	$59.92	$90.55	$165.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $27.47 / $29.28	Professional	26	$18.62	$27.47	$29.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $80.43 / $159.00	Professional		$68.37	$80.43	$159.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.35 / $28.84 / $45.62	Professional	26	$24.35	$28.84	$45.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.85 / $51.59 / $116.82	Professional	TC	$43.85	$51.59	$116.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $94.62 / $147.97	Professional		$26.93	$94.62	$147.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $138.34 / $227.69	Professional		$86.73	$138.34	$227.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.88 / $37.29 / $58.01	Professional	26	$24.88	$37.29	$58.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.67 / $100.10 / $182.11	Professional	TC	$57.67	$100.10	$182.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $99.96	Professional		$32.34	$32.34	$99.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $114.29 / $180.44	Professional		$72.80	$114.29	$180.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.13 / $28.45 / $40.61	Professional	26	$23.13	$28.45	$40.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.94 / $91.14 / $146.02	Professional	TC	$48.94	$91.14	$146.02