Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.08 / $27.10 / $48.31	Facility	26	$24.08	$27.10	$48.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $101.07 / $348.88	Professional		$49.37	$101.07	$348.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $28.11 / $64.05	Professional	26	$25.19	$28.11	$64.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $50.07 / $109.92	Professional	TC	$25.29	$50.07	$109.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $80.97 / $80.97	Professional		$48.63	$80.97	$80.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $28.23 / $42.24	Professional	26	$20.48	$28.23	$42.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $92.16 / $123.80	Professional		$71.19	$92.16	$123.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $31.65 / $44.41	Professional	26	$26.90	$31.65	$44.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.21 / $61.43 / $79.40	Professional	TC	$38.21	$61.43	$79.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $36.89 / $71.73	Professional		$27.77	$36.89	$71.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $105.11 / $189.03	Professional		$54.68	$105.11	$189.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $38.31 / $64.39	Professional	26	$25.19	$38.31	$64.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $56.89 / $135.08	Professional	TC	$28.62	$56.89	$135.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $66.17	Professional		$32.34	$32.34	$66.17
United Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $82.38 / $113.14	Professional		$50.87	$82.38	$113.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $30.88 / $49.89	Professional	26	$25.61	$30.88	$49.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $46.66 / $77.15	Professional	TC	$24.26	$46.66	$77.15