Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.02 / $65.56 / $80.73	Facility	26	$59.02	$65.56	$80.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.27 / $402.52 / $540.86	Professional		$362.27	$402.52	$540.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.02 / $64.70 / $80.73	Professional	26	$59.02	$64.70	$80.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $303.26 / $336.95 / $453.51	Professional	TC	$303.26	$336.95	$453.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.05 / $78.05 / $78.05	Professional	26	$78.05	$78.05	$78.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.78 / $370.57 / $486.42	Professional		$359.78	$370.57	$486.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.16 / $57.84 / $74.14	Professional	26	$56.16	$57.84	$74.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $303.61 / $312.72 / $412.28	Professional	TC	$303.61	$312.72	$412.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $99.90 / $566.32	Professional		$67.55	$99.90	$566.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	26	$76.76	$76.76	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.42 / $770.79 / $1,987.86	Professional		$458.42	$770.79	$1,987.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.61 / $122.96 / $310.26	Professional	26	$68.61	$122.96	$310.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.81 / $647.83 / $1,677.60	Professional	TC	$389.81	$647.83	$1,677.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $404.51	Professional		$32.34	$32.34	$404.51
United Facility/Professional Professional Modifier Low / Median / High Price $443.59 / $548.66 / $682.82	Professional		$443.59	$548.66	$682.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $81.17 / $106.52	Professional	26	$70.34	$81.17	$106.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $372.84 / $464.33 / $577.26	Professional	TC	$372.84	$464.33	$577.26