Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.49 / $46.10 / $84.14	Facility	26	$41.49	$46.10	$84.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $290.16 / $393.60	Professional		$261.14	$290.16	$393.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $45.98 / $63.29	Professional	26	$41.49	$45.98	$63.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $219.65 / $244.06 / $331.51	Professional	TC	$219.65	$244.06	$331.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $35.28 / $55.13	Professional	26	$35.28	$35.28	$55.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $248.44 / $436.85	Professional		$216.38	$248.44	$436.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.66 / $54.72 / $67.84	Professional	26	$46.66	$54.72	$67.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $168.60 / $193.85 / $362.15	Professional	TC	$168.60	$193.85	$362.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $70.56 / $402.98	Professional		$47.76	$70.56	$402.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.48 / $54.48 / $54.48	Facility	26	$54.48	$54.48	$54.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $457.71 / $1,449.95	Professional		$277.11	$457.71	$1,449.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $82.01 / $235.03	Professional	26	$49.38	$82.01	$235.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.49 / $387.37 / $1,230.10	Professional	TC	$216.49	$387.37	$1,230.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.77	Professional		$32.34	$32.34	$294.77
United Facility/Professional Professional Modifier Low / Median / High Price $236.52 / $363.95 / $475.56	Professional		$236.52	$363.95	$475.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $56.33 / $74.48	Professional	26	$44.51	$56.33	$74.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.68 / $308.30 / $375.41	Professional	TC	$208.68	$308.30	$375.41