Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $42.66 / $43.65	Facility	26	$37.15	$42.66	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $131.83	Professional		$64.57	$79.43	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $79.43	Professional	26	$33.88	$43.65	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.02 / $63.10	Professional	TC	$20.89	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $38.02	Professional	26	$21.88	$33.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $91.20	Professional		$56.23	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $46.77 / $63.10	Professional	26	$39.81	$46.77	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $19.95 / $30.90	Professional	TC	$16.98	$19.95	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $47.86	Professional		$30.20	$38.02	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $40.74 / $57.54	Facility	26	$8.71	$40.74	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $331.13	Professional		$63.10	$95.50	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $64.57 / $165.96	Professional	26	$36.31	$64.57	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $165.96	Professional	TC	$23.44	$38.90	$165.96
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 $57.54 / $72.44 / $117.49	Professional		$57.54	$72.44	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $75.86	Professional	26	$34.67	$45.71	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $48.98	Professional	TC	$19.50	$26.30	$48.98