Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.51 / $49.25 / $95.64	Facility	26	$41.51	$49.25	$95.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $86.34 / $140.94	Professional		$71.40	$86.34	$140.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.63 / $45.22 / $82.43	Professional	26	$42.63	$45.22	$82.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $41.85 / $58.15	Professional	TC	$26.17	$41.85	$58.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $102.90 / $102.90	Professional		$102.90	$102.90	$102.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.18 / $47.18 / $47.18	Professional	26	$47.18	$47.18	$47.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $71.15 / $101.89	Professional		$60.47	$71.15	$101.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.40 / $47.68 / $67.84	Professional	26	$40.40	$47.68	$67.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $23.47 / $37.39	Professional	TC	$19.94	$23.47	$37.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $50.06 / $86.54	Professional		$34.96	$50.06	$86.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Facility	26	$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $96.25 / $143.87	Professional		$71.89	$96.25	$143.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $63.28 / $96.20	Professional	26	$39.40	$63.28	$96.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $34.42 / $65.26	Professional	TC	$25.96	$34.42	$65.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.55	Professional		$32.34	$32.34	$95.55
United Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.15 / $151.27	Professional		$65.00	$85.15	$151.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $53.05 / $83.66	Professional	26	$39.77	$53.05	$83.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.80 / $31.42 / $58.61	Professional	TC	$22.80	$31.42	$58.61