Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $51.29 / $53.70	Facility	26	$44.67	$51.29	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $281.84	Professional		$125.89	$154.88	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $104.71	Professional	26	$40.74	$50.12	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $186.21	Professional	TC	$85.11	$107.15	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $57.54	Professional	26	$31.62	$45.71	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $245.47	Professional		$100.00	$120.23	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $74.13	Professional	26	$41.69	$48.98	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $70.79 / $177.83	Professional	TC	$60.26	$70.79	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $64.57	Professional		$38.90	$53.70	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $851.14	Professional		$138.04	$245.47	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $223.87	Professional	26	$45.71	$72.44	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $169.82 / $436.52	Professional	TC	$93.33	$169.82	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $269.15	Professional		$120.23	$190.55	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $85.11	Professional	26	$40.74	$57.54	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $128.82 / $194.98	Professional	TC	$81.28	$128.82	$194.98