Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.56 / $40.38 / $44.87	Facility	26	$22.56	$40.38	$44.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $145.06 / $266.58	Professional		$87.89	$145.06	$266.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $40.38 / $69.62	Professional	26	$16.71	$40.38	$69.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.50 / $87.23 / $234.99	Professional	TC	$45.50	$87.23	$234.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $35.60 / $59.75	Professional	26	$34.61	$35.60	$59.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $120.60 / $657.17	Professional		$91.53	$120.60	$657.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $19.67 / $39.53	Professional	26	$16.68	$19.67	$39.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.11 / $88.06 / $653.11	Professional	TC	$64.11	$88.06	$653.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $59.99 / $119.74	Professional		$44.54	$59.99	$119.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $218.01 / $743.25	Professional		$98.52	$218.01	$743.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.18 / $31.22 / $83.99	Professional	26	$20.18	$31.22	$83.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.96 / $184.76 / $714.03	Professional	TC	$54.96	$184.76	$714.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.96	Professional		$32.34	$32.34	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $153.59 / $437.97	Professional		$92.92	$153.59	$437.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $39.84 / $67.34	Professional	26	$16.67	$39.84	$67.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.12 / $102.27 / $394.71	Professional	TC	$52.12	$102.27	$394.71