Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $37.99 / $82.64	Facility	26	$36.40	$37.99	$82.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $74.34 / $121.28	Professional		$66.95	$74.34	$121.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $44.39 / $75.22	Professional	26	$36.75	$44.39	$75.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $35.14 / $49.14	Professional	TC	$22.57	$35.14	$49.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $63.17 / $63.17	Professional		$63.17	$63.17	$63.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Professional	26	$41.36	$41.36	$41.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $66.75 / $93.35	Professional		$56.73	$66.75	$93.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $46.69 / $62.79	Professional	26	$35.19	$46.69	$62.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $20.05 / $31.72	Professional	TC	$17.05	$20.05	$31.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $42.11 / $74.45	Professional		$32.35	$42.11	$74.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $88.53 / $136.53	Professional		$62.32	$88.53	$136.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $56.65 / $88.30	Professional	26	$34.53	$56.65	$88.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.20 / $55.81	Professional	TC	$21.94	$29.20	$55.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $82.12	Professional		$32.34	$32.34	$82.12
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $72.01 / $119.65	Professional		$57.51	$72.01	$119.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $46.02 / $76.45	Professional	26	$34.76	$46.02	$76.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $26.47 / $48.43	Professional	TC	$19.42	$26.47	$48.43