Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $44.67 / $44.67	Facility	26	$39.81	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $229.09	Professional		$79.43	$107.15	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $43.65 / $123.03	Professional	26	$16.60	$43.65	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $54.95 / $173.78	Professional	TC	$41.69	$54.95	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $95.50	Professional	26	$33.88	$43.65	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $724.44	Professional		$104.71	$112.20	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.50 / $39.81	Professional	26	$19.05	$19.50	$39.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $87.10 / $691.83	Professional	TC	$74.13	$87.10	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $112.20	Professional		$42.66	$60.26	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $52.48 / $74.13	Facility	26	$11.22	$52.48	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $2,137.96	Professional		$89.13	$309.03	$2,137.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $36.31 / $213.80	Professional	26	$19.95	$36.31	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $288.40 / $812.83	Professional	TC	$56.23	$288.40	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $478.63	Professional		$91.20	$158.49	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $24.55 / $64.57	Professional	26	$16.98	$24.55	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $114.82 / $457.09	Professional	TC	$52.48	$114.82	$457.09