Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $40.74 / $48.98	Facility	26	$28.84	$40.74	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $524.81	Professional		$93.33	$151.36	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $114.82	Professional	26	$22.91	$39.81	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $89.13 / $154.88	Professional	TC	$70.79	$89.13	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $234.42	Professional		$91.20	$100.00	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.51 / $54.95	Professional	26	$23.44	$29.51	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $151.36	Professional		$87.10	$102.33	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $27.54 / $42.66	Professional	26	$23.44	$27.54	$42.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $74.13 / $117.49	Professional	TC	$63.10	$74.13	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $109.65	Professional		$25.12	$69.18	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $457.09	Professional		$102.33	$144.54	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $41.69 / $131.83	Professional	26	$25.70	$41.69	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $117.49 / $338.84	Professional	TC	$74.13	$117.49	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $54.95	Professional		$32.36	$33.11	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $177.83	Professional		$89.13	$120.23	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $48.98	Professional	26	$23.44	$33.11	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $89.13 / $131.83	Professional	TC	$64.57	$89.13	$131.83