Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.43 / $11.43 / $11.43	Facility	26	$11.43	$11.43	$11.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $94.81 / $184.58	Professional		$87.16	$94.81	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $11.96 / $17.96	Professional	26	$11.43	$11.96	$17.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $82.83 / $166.62	Professional	TC	$75.73	$82.83	$166.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $9.52 / $9.52	Professional	26	$9.52	$9.52	$9.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $74.08 / $183.10	Professional		$62.38	$74.08	$183.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $13.36 / $21.10	Professional	26	$11.35	$13.36	$21.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.27 / $59.86 / $163.50	Professional	TC	$51.27	$59.86	$163.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $17.50 / $150.38	Professional		$12.55	$17.50	$150.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $170.43 / $318.73	Professional		$106.66	$170.43	$318.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $17.05 / $27.78	Professional	26	$10.84	$17.05	$27.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.12 / $150.35 / $287.13	Professional	TC	$93.12	$150.35	$287.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.95	Professional		$32.34	$32.34	$101.95
United Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $131.94 / $202.88	Professional		$101.42	$131.94	$202.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.63 / $18.95	Professional	26	$10.72	$12.63	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.46 / $123.79 / $178.85	Professional	TC	$93.46	$123.79	$178.85