Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.30 / $22.71 / $40.58	Facility	26	$20.30	$22.71	$40.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $199.75 / $277.20	Professional		$179.25	$199.75	$277.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $22.18 / $28.18	Professional	26	$20.30	$22.18	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.94 / $177.56 / $247.55	Professional	TC	$158.94	$177.56	$247.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Professional	26	$26.99	$26.99	$26.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $213.24 / $293.08	Professional		$210.62	$213.24	$293.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $22.82 / $32.15	Professional	26	$21.55	$22.82	$32.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.08 / $190.43 / $263.26	Professional	TC	$189.08	$190.43	$263.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $35.61 / $283.20	Professional		$23.86	$35.61	$283.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.09 / $372.64 / $999.38	Professional		$241.09	$372.64	$999.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $40.65 / $107.58	Professional	26	$25.93	$40.65	$107.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.15 / $331.99 / $891.80	Professional	TC	$215.15	$331.99	$891.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $202.29	Professional		$32.34	$32.34	$202.29
United Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $264.39 / $336.54	Professional		$223.46	$264.39	$336.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $28.56 / $36.13	Professional	26	$24.18	$28.56	$36.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.28 / $238.10 / $299.58	Professional	TC	$199.28	$238.10	$299.58