Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.28 / $40.01 / $54.24	Facility	26	$27.28	$40.01	$54.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $118.55 / $472.95	Professional		$73.78	$118.55	$472.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $47.73 / $162.35	Professional	26	$27.64	$47.73	$162.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.86 / $57.91 / $95.84	Professional	TC	$40.86	$57.91	$95.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $78.77 / $106.92	Professional		$58.60	$78.77	$106.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $31.74 / $40.21	Professional	26	$22.92	$31.74	$40.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $86.37 / $129.77	Professional		$73.41	$86.37	$129.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $35.27 / $50.78	Professional	26	$29.98	$35.27	$50.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.42 / $51.08 / $83.92	Professional	TC	$43.42	$51.08	$83.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $49.05 / $96.23	Professional		$31.59	$49.05	$96.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $110.77 / $172.56	Professional		$73.65	$110.77	$172.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.26 / $43.05 / $68.43	Professional	26	$29.26	$43.05	$68.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.53 / $68.47 / $108.55	Professional	TC	$45.53	$68.47	$108.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.66	Professional		$32.34	$32.34	$92.66
United Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $92.39 / $121.18	Professional		$71.95	$92.39	$121.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $33.52 / $47.88	Professional	26	$28.73	$33.52	$47.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.23 / $53.61 / $77.37	Professional	TC	$42.23	$53.61	$77.37