Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.15 / $60.24 / $84.12	Facility	26	$44.15	$60.24	$84.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $138.24 / $221.87	Professional		$119.88	$138.24	$221.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $45.97 / $68.30	Professional	26	$42.14	$45.97	$68.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $89.92 / $152.69	Professional	TC	$75.73	$89.92	$152.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $41.73 / $46.17	Professional	26	$33.38	$41.73	$46.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $150.31 / $268.20	Professional		$127.76	$150.31	$268.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $52.91 / $83.75	Professional	26	$44.97	$52.91	$83.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.19 / $98.93 / $194.10	Professional	TC	$74.19	$98.93	$194.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $68.02 / $168.53	Professional		$46.38	$68.02	$168.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $228.81 / $372.11	Professional		$156.13	$228.81	$372.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $68.69 / $109.49	Professional	26	$42.71	$68.69	$109.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.87 / $152.13 / $272.10	Professional	TC	$101.87	$152.13	$272.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $142.42	Professional		$32.34	$32.34	$142.42
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $172.54 / $262.25	Professional		$132.72	$172.54	$262.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.82 / $49.46 / $74.16	Professional	26	$42.82	$49.46	$74.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.29 / $124.78 / $174.54	Professional	TC	$85.29	$124.78	$174.54