Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.76 / $41.17 / $64.33	Facility	26	$36.76	$41.17	$64.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $366.12 / $635.44	Professional		$328.04	$366.12	$635.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.76 / $40.43 / $53.78	Professional	26	$36.76	$40.43	$53.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $291.27 / $324.95 / $585.24	Professional	TC	$291.27	$324.95	$585.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $50.82 / $65.61	Professional	26	$48.86	$50.82	$65.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $511.12	Professional		$295.79	$295.79	$511.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $40.51 / $58.32	Professional	26	$39.49	$40.51	$58.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.28 / $255.28 / $450.94	Professional	TC	$255.28	$255.28	$450.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $307.58 / $488.32	Professional		$43.19	$307.58	$488.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $47.92 / $47.92	Facility	26	$47.92	$47.92	$47.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.78 / $691.88 / $1,821.04	Professional		$446.78	$691.88	$1,821.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.12 / $72.77 / $194.87	Professional	26	$46.12	$72.77	$194.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $400.65 / $616.23 / $1,626.12	Professional	TC	$400.65	$616.23	$1,626.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.53	Professional		$32.34	$32.34	$368.53
United Facility/Professional Professional Modifier Low / Median / High Price $413.98 / $484.24 / $605.29	Professional		$413.98	$484.24	$605.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.96 / $52.43 / $64.12	Professional	26	$42.96	$52.43	$64.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.02 / $439.99 / $544.54	Professional	TC	$371.02	$439.99	$544.54