Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.01 / $38.93 / $70.43	Facility	26	$35.01	$38.93	$70.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $247.76 / $334.66	Professional		$222.98	$247.76	$334.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $38.49 / $55.24	Professional	26	$35.01	$38.49	$55.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.97 / $209.40 / $282.69	Professional	TC	$187.97	$209.40	$282.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.68 / $46.54 / $62.49	Professional	26	$29.68	$46.54	$62.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $206.81 / $315.73	Professional		$180.20	$206.81	$315.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $46.05 / $57.35	Professional	26	$39.14	$46.05	$57.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.05 / $161.11 / $258.39	Professional	TC	$141.05	$161.11	$258.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $198.48 / $319.47	Professional		$40.95	$198.48	$319.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.62 / $45.62 / $45.62	Facility	26	$45.62	$45.62	$45.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.04 / $366.91 / $1,234.79	Professional		$230.04	$366.91	$1,234.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $68.86 / $198.31	Professional	26	$41.66	$68.86	$198.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.16 / $286.80 / $1,049.27	Professional	TC	$188.16	$286.80	$1,049.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.01	Professional		$32.34	$32.34	$251.01
United Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $311.08 / $386.97	Professional		$196.41	$311.08	$386.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $47.84 / $58.94	Professional	26	$37.90	$47.84	$58.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.44 / $259.26 / $461.67	Professional	TC	$156.44	$259.26	$461.67