Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.44 / $43.38 / $63.51	Facility	26	$36.44	$43.38	$63.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $241.75 / $380.75	Professional		$191.65	$241.75	$380.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $36.44 / $59.56	Professional	26	$32.20	$36.44	$59.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.46 / $205.31 / $323.36	Professional	TC	$159.46	$205.31	$323.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Professional		$230.92	$230.92	$230.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $45.34 / $48.83	Professional	26	$27.90	$45.34	$48.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $185.53 / $347.33	Professional		$157.69	$185.53	$347.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $38.95 / $54.30	Professional	26	$33.10	$38.95	$54.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.49 / $146.58 / $284.95	Professional	TC	$122.49	$146.58	$284.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $225.46 / $325.60	Professional		$40.11	$225.46	$325.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.72 / $42.72 / $42.72	Facility	26	$42.72	$42.72	$42.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $288.60 / $467.14	Professional		$176.62	$288.60	$467.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $54.76 / $176.17	Professional	26	$36.32	$54.76	$176.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.91 / $230.40 / $400.22	Professional	TC	$142.91	$230.40	$400.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $254.01	Professional		$32.34	$32.34	$254.01
United Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $227.03 / $376.08	Professional		$162.78	$227.03	$376.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $38.49 / $55.32	Professional	26	$32.27	$38.49	$55.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.51 / $206.91 / $344.00	Professional	TC	$130.51	$206.91	$344.00