Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.52 / $26.49 / $28.70	Facility	26	$25.52	$26.49	$28.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $98.01 / $121.40	Professional		$86.29	$98.01	$121.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $25.47 / $30.94	Professional	26	$17.82	$25.47	$30.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $72.88 / $91.12	Professional	TC	$62.86	$72.88	$91.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.20 / $23.20 / $54.89	Professional	26	$23.20	$23.20	$54.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $54.00 / $91.53	Professional		$45.90	$54.00	$91.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $14.69 / $27.39	Professional	26	$13.21	$14.69	$27.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $39.31 / $64.13	Professional	TC	$33.40	$39.31	$64.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $61.20 / $171.16	Professional		$35.19	$61.20	$171.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.12 / $24.10 / $101.53	Facility	26	$23.12	$24.10	$101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $101.79 / $232.87	Professional		$45.86	$101.79	$232.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $30.04 / $67.72	Professional	26	$13.77	$30.04	$67.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.58 / $71.75 / $165.15	Professional	TC	$32.58	$71.75	$165.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $123.57 / $168.47	Professional		$78.03	$123.57	$168.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.52 / $27.65 / $43.31	Professional	26	$21.52	$27.65	$43.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.51 / $77.98 / $135.25	Professional	TC	$56.51	$77.98	$135.25