Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.13 / $52.22 / $66.44	Facility	26	$38.13	$52.22	$66.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $121.94 / $142.87	Professional		$52.52	$121.94	$142.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.13 / $61.08	Professional	26	$36.31	$38.13	$61.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $85.63 / $100.58	Professional	TC	$16.03	$85.63	$100.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $51.88 / $51.88	Professional	26	$51.88	$51.88	$51.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $65.55 / $169.30	Professional		$52.02	$65.55	$169.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $47.03 / $69.26	Professional	26	$38.81	$47.03	$69.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.74 / $11.25 / $115.54	Professional	TC	$8.74	$11.25	$115.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $74.12 / $167.47	Professional		$40.27	$74.12	$167.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.71 / $44.71 / $44.71	Facility	26	$44.71	$44.71	$44.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $140.28 / $223.39	Professional		$81.79	$140.28	$223.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.88 / $60.39 / $86.86	Professional	26	$40.88	$60.39	$86.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $85.89 / $156.11	Professional	TC	$24.57	$85.89	$156.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $131.58	Professional		$32.34	$32.34	$131.58
United Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $106.35 / $164.17	Professional		$57.28	$106.35	$164.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.99 / $44.41 / $61.92	Professional	26	$36.99	$44.41	$61.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.04 / $69.04 / $107.85	Professional	TC	$23.04	$69.04	$107.85