Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $37.15 / $48.98	Facility	26	$26.92	$37.15	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $478.63	Professional		$74.13	$114.82	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $91.20	Professional	26	$25.12	$34.67	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $79.43 / $218.78	Professional	TC	$47.86	$79.43	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $52.48	Professional	26	$20.42	$30.20	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $147.91	Professional		$51.29	$61.66	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $30.90 / $45.71	Professional	26	$29.51	$30.90	$45.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $23.99 / $104.71	Professional	TC	$20.89	$23.99	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $72.44 / $120.23	Professional		$28.18	$72.44	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $478.63	Professional		$87.10	$162.18	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $48.98 / $128.82	Professional	26	$26.30	$48.98	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $112.20 / $346.74	Professional	TC	$58.88	$112.20	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $158.49	Professional		$81.28	$102.33	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $29.51 / $48.98	Professional	26	$25.70	$29.51	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $120.23	Professional	TC	$56.23	$72.44	$120.23