Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.42 / $76.42 / $99.03	Facility	26	$76.42	$76.42	$99.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $105.04 / $167.14	Professional		$94.37	$105.04	$167.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.36 / $76.67 / $108.98	Professional	26	$73.36	$76.67	$108.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $28.24 / $43.34	Professional	TC	$19.69	$28.24	$43.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $92.84 / $118.85	Professional		$88.42	$92.84	$118.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $88.69 / $132.22	Professional		$67.98	$88.69	$132.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.66 / $63.14 / $103.88	Professional	26	$53.66	$63.14	$103.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $16.84 / $33.42	Professional	TC	$14.31	$16.84	$33.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $71.20 / $133.11	Professional		$24.69	$71.20	$133.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $86.92 / $86.92	Facility	26	$86.92	$86.92	$86.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $111.82 / $164.95	Professional		$82.42	$111.82	$164.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.14 / $89.48 / $128.31	Professional	26	$63.14	$89.48	$128.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $23.20 / $41.08	Professional	TC	$16.39	$23.20	$41.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $32.34 / $67.94	Professional		$19.29	$32.34	$67.94
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $102.60 / $184.68	Professional		$82.28	$102.60	$184.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.80 / $84.18 / $140.41	Professional	26	$62.80	$84.18	$140.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.23 / $22.38 / $44.26	Professional	TC	$14.23	$22.38	$44.26