Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.36 / $90.89 / $133.57	Facility	26	$66.36	$90.89	$133.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $260.95 / $608.00	Professional		$203.61	$260.95	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $78.45 / $145.65	Professional	26	$66.36	$78.45	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.74 / $151.16 / $348.53	Professional	TC	$122.74	$151.16	$348.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.22 / $84.18 / $91.36	Professional	26	$56.22	$84.18	$91.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.29 / $188.29 / $258.02	Professional		$188.29	$188.29	$258.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.22 / $63.22 / $86.62	Professional	26	$63.22	$63.22	$86.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.07 / $125.07 / $177.24	Professional	TC	$125.07	$125.07	$177.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $115.96 / $273.17	Professional		$80.65	$115.96	$273.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $343.86 / $535.51	Professional		$207.87	$343.86	$535.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.31 / $113.01 / $180.44	Professional	26	$70.31	$113.01	$180.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.56 / $228.40 / $355.07	Professional	TC	$137.56	$228.40	$355.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.52	Professional		$32.34	$32.34	$201.52
United Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $314.69 / $943.31	Professional		$230.43	$314.69	$943.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.86 / $85.82 / $122.88	Professional	26	$70.86	$85.82	$122.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.69 / $227.55 / $805.90	Professional	TC	$151.69	$227.55	$805.90