Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $34.67 / $64.57	Facility	26	$30.90	$34.67	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $316.23	Professional		$102.33	$151.36	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $131.83	Professional	26	$28.84	$38.02	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $114.82 / $208.93	Professional	TC	$89.13	$114.82	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.02 / $81.28	Professional	26	$33.88	$38.02	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $186.21	Professional		$112.20	$128.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $38.02 / $57.54	Professional	26	$37.15	$38.02	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $91.20 / $134.90	Professional	TC	$75.86	$91.20	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $53.70	Professional		$30.20	$44.67	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $40.74 / $58.88	Facility	26	$8.71	$40.74	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $676.08	Professional		$120.23	$204.17	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $165.96	Professional	26	$33.11	$52.48	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $512.86	Professional	TC	$83.18	$151.36	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $239.88	Professional		$114.82	$144.54	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $63.10	Professional	26	$32.36	$38.90	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $107.15 / $181.97	Professional	TC	$79.43	$107.15	$181.97