Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $177.83	Facility	26	$89.13	$89.13	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $204.17	Professional		$123.03	$138.04	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $50.12 / $75.86	Professional	TC	$41.69	$50.12	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $371.54	Professional		$158.49	$302.00	$371.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $57.54 / $186.21	Professional	TC	$51.29	$57.54	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $75.86	Professional		$41.69	$61.66	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $104.71 / $151.36	Facility	26	$22.39	$104.71	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $891.25	Professional		$169.82	$288.40	$891.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $120.23 / $251.19	Professional	TC	$61.66	$120.23	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $245.47	Professional		$141.25	$186.21	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $67.61 / $93.33	Professional	TC	$44.67	$67.61	$93.33