Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.39 / $35.21 / $63.11	Facility	26	$31.39	$35.21	$63.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $135.07 / $506.00	Professional		$84.76	$135.07	$506.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $46.58 / $154.00	Professional	26	$32.13	$46.58	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.79 / $64.31 / $103.29	Professional	TC	$46.79	$64.31	$103.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $86.71 / $113.46	Professional		$68.89	$86.71	$113.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.46 / $36.56 / $46.33	Professional	26	$26.46	$36.56	$46.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.98 / $55.02 / $64.73	Professional	TC	$52.98	$55.02	$64.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $94.99 / $143.13	Professional		$83.34	$94.99	$143.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.49 / $40.58 / $58.40	Professional	26	$34.49	$40.58	$58.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.24 / $54.40 / $87.00	Professional	TC	$46.24	$54.40	$87.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $55.29 / $109.40	Professional		$36.40	$55.29	$109.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $124.61 / $195.27	Professional		$84.28	$124.61	$195.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $49.36 / $76.88	Professional	26	$33.83	$49.36	$76.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.49 / $75.09 / $122.83	Professional	TC	$51.49	$75.09	$122.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.35	Professional		$32.34	$32.34	$105.35
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $97.44 / $132.75	Professional		$82.08	$97.44	$132.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.27 / $64.95	Professional	26	$33.11	$39.27	$64.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.94 / $59.18 / $92.51	Professional	TC	$47.94	$59.18	$92.51