Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.78 / $26.02 / $41.99	Facility	26	$23.78	$26.02	$41.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $180.90 / $271.70	Professional		$115.22	$180.90	$271.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $23.84 / $44.97	Professional	26	$20.63	$23.84	$44.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.72 / $147.26 / $237.21	Professional	TC	$91.72	$147.26	$237.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $16.91 / $16.91	Professional	26	$16.91	$16.91	$16.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $148.85 / $183.34	Professional		$123.08	$148.85	$183.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $21.19 / $33.61	Professional	26	$16.19	$21.19	$33.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.87 / $121.60 / $156.25	Professional	TC	$99.87	$121.60	$156.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $35.67 / $163.95	Professional		$23.89	$35.67	$163.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $175.86 / $308.02	Professional		$112.90	$175.86	$308.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.62 / $29.91 / $48.56	Professional	26	$21.62	$29.91	$48.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $145.15 / $262.83	Professional	TC	$93.33	$145.15	$262.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.62	Professional		$32.34	$32.34	$92.62
United Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $168.69 / $242.36	Professional		$123.62	$168.69	$242.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $26.31 / $50.63	Professional	26	$19.53	$26.31	$50.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.86 / $142.69 / $192.77	Professional	TC	$93.86	$142.69	$192.77