Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.48 / $93.24 / $132.41	Facility	26	$69.48	$93.24	$132.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $229.24 / $942.49	Professional		$183.78	$229.24	$942.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.00 / $85.62 / $330.00	Professional	26	$71.00	$85.62	$330.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.78 / $142.30 / $223.12	Professional	TC	$112.78	$142.30	$223.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.95 / $82.11 / $88.42	Professional	26	$78.95	$82.11	$88.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $158.55 / $288.85	Professional		$134.76	$158.55	$288.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.58 / $61.86 / $96.69	Professional	26	$52.58	$61.86	$96.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.18 / $96.69 / $195.47	Professional	TC	$82.18	$96.69	$195.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $112.57 / $220.25	Professional		$69.48	$112.57	$220.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $263.32 / $424.52	Professional		$169.47	$263.32	$424.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $103.78 / $154.62	Professional	26	$67.45	$103.78	$154.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.23 / $161.80 / $285.36	Professional	TC	$90.23	$161.80	$285.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $131.12	Professional		$32.34	$32.34	$131.12
United Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $232.39 / $340.63	Professional		$155.91	$232.39	$340.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $98.30 / $134.90	Professional	26	$69.87	$98.30	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.68 / $135.40 / $202.28	Professional	TC	$92.68	$135.40	$202.28