Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.91 / $33.83 / $50.03	Facility	26	$24.91	$33.83	$50.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $106.50 / $186.81	Professional		$88.09	$106.50	$186.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.91 / $27.68 / $44.16	Professional	26	$24.91	$27.68	$44.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.99 / $71.89 / $110.33	Professional	TC	$60.99	$71.89	$110.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $92.33 / $117.72	Professional		$59.09	$92.33	$117.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $21.49 / $33.13	Professional	26	$21.13	$21.49	$33.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $70.45 / $70.45	Professional	TC	$70.45	$70.45	$70.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $79.08 / $108.35	Professional		$79.08	$79.08	$108.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.54 / $23.54 / $31.31	Professional	26	$23.54	$23.54	$31.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.54 / $55.54 / $76.50	Professional	TC	$55.54	$55.54	$76.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $75.72 / $129.26	Professional		$29.15	$75.72	$129.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $137.38 / $224.81	Professional		$86.89	$137.38	$224.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.09 / $39.57 / $67.14	Professional	26	$25.09	$39.57	$67.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.86 / $97.05 / $157.66	Professional	TC	$66.86	$97.05	$157.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.63	Professional		$32.34	$32.34	$84.63
United Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $108.37 / $153.36	Professional		$88.65	$108.37	$153.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $32.64 / $46.19	Professional	26	$26.21	$32.64	$46.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.14 / $75.72 / $109.63	Professional	TC	$64.14	$75.72	$109.63