Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.37 / $48.26 / $83.35	Facility	26	$41.37	$48.26	$83.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $159.16 / $598.84	Professional		$117.78	$159.16	$598.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $59.88 / $195.00	Professional	26	$42.60	$59.88	$195.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.73 / $87.95 / $159.82	Professional	TC	$72.73	$87.95	$159.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $130.44 / $165.27	Professional		$97.23	$130.44	$165.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $51.59 / $61.57	Professional	26	$35.19	$51.59	$61.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $96.28 / $96.28 / $101.82	Professional	TC	$96.28	$96.28	$101.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $132.87 / $207.00	Professional		$121.27	$132.87	$207.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $54.43 / $77.79	Professional	26	$46.26	$54.43	$77.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.98 / $78.44 / $131.27	Professional	TC	$69.98	$78.44	$131.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $87.96 / $164.09	Professional		$48.38	$87.96	$164.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $182.22 / $282.58	Professional		$121.89	$182.22	$282.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.73 / $65.59 / $105.11	Professional	26	$44.73	$65.59	$105.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.97 / $114.25 / $188.84	Professional	TC	$77.97	$114.25	$188.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $144.26 / $212.73	Professional		$116.08	$144.26	$212.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.99 / $51.93 / $76.34	Professional	26	$43.99	$51.93	$76.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.06 / $89.27 / $123.66	Professional	TC	$74.06	$89.27	$123.66