Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $77.62 / $83.18	Facility	26	$42.66	$77.62	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $154.88	Professional		$67.61	$89.13	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $89.13	Professional	26	$38.02	$46.77	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $42.66 / $74.13	Professional	TC	$26.30	$42.66	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $36.31 / $83.18	Professional	26	$30.90	$36.31	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $102.33	Professional		$60.26	$70.79	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $47.86 / $66.07	Professional	26	$40.74	$47.86	$66.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.44 / $35.48	Professional	TC	$19.95	$23.44	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $57.54	Professional		$32.36	$44.67	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $389.05	Professional		$75.86	$107.15	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $70.79 / $190.55	Professional	26	$41.69	$70.79	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $194.98	Professional	TC	$26.92	$45.71	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $138.04	Professional		$64.57	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $83.18	Professional	26	$39.81	$52.48	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $57.54	Professional	TC	$22.91	$30.90	$57.54