Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $35.48 / $61.66	Facility	26	$33.11	$35.48	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $758.58	Professional		$245.47	$309.03	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $35.48 / $87.10	Professional	26	$30.20	$35.48	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $416.87	Professional	TC	$213.80	$269.15	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $371.54	Professional		$213.80	$213.80	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $66.07	Professional	26	$25.70	$38.02	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $416.87	Professional		$288.40	$288.40	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $48.98	Professional	26	$33.88	$33.88	$48.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $363.08	Professional	TC	$257.04	$257.04	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $346.74	Professional		$37.15	$72.44	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,348.96	Professional		$407.38	$616.60	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $70.79 / $162.18	Professional	26	$44.67	$70.79	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $549.54 / $1,202.26	Professional	TC	$354.81	$549.54	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $478.63	Professional		$302.00	$371.54	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $42.66 / $56.23	Professional	26	$35.48	$42.66	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $426.58	Professional	TC	$269.15	$338.84	$426.58