Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.84 / $70.48 / $98.50	Facility	26	$48.84	$70.48	$98.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $295.42 / $349.33	Professional		$265.02	$295.42	$349.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.84 / $53.09 / $55.45	Professional	26	$48.84	$53.09	$55.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.19 / $241.59 / $298.91	Professional	TC	$216.19	$241.59	$298.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.31 / $41.31 / $41.31	Professional	26	$41.31	$41.31	$41.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $319.91 / $442.33	Professional		$319.91	$319.91	$442.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.22 / $54.22 / $78.54	Professional	26	$54.22	$54.22	$78.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.70 / $265.70 / $367.52	Professional	TC	$265.70	$265.70	$367.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $85.21 / $440.94	Professional		$59.39	$85.21	$440.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.78 / $63.78 / $63.78	Facility	26	$63.78	$63.78	$63.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $554.15 / $1,468.65	Professional		$361.91	$554.15	$1,468.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.67 / $95.83 / $257.24	Professional	26	$61.67	$95.83	$257.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.24 / $458.32 / $1,211.41	Professional	TC	$300.24	$458.32	$1,211.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.31	Professional		$32.34	$32.34	$299.31
United Facility/Professional Professional Modifier Low / Median / High Price $335.10 / $395.51 / $486.72	Professional		$335.10	$395.51	$486.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $68.69 / $86.58	Professional	26	$57.10	$68.69	$86.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.00 / $317.95 / $400.14	Professional	TC	$278.00	$317.95	$400.14