Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.84 / $24.30 / $32.22	Facility	26	$23.84	$24.30	$32.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $148.86 / $373.49	Professional		$144.29	$148.86	$373.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $24.31 / $41.05	Professional	26	$22.31	$24.31	$41.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.97 / $124.56 / $303.14	Professional	TC	$121.97	$124.56	$303.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $27.39 / $30.67	Professional	26	$14.02	$27.39	$30.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $178.98 / $234.24	Professional		$149.54	$178.98	$234.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.12 / $23.68 / $41.14	Professional	26	$20.12	$23.68	$41.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.48 / $155.31 / $191.33	Professional	TC	$116.48	$155.31	$191.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $35.06 / $202.86	Professional		$24.64	$35.06	$202.86
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 $143.84 / $230.09 / $393.76	Professional		$143.84	$230.09	$393.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $34.44 / $52.09	Professional	26	$22.91	$34.44	$52.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.66 / $200.90 / $343.69	Professional	TC	$125.66	$200.90	$343.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.05	Professional		$32.34	$32.34	$104.05
United Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $210.71 / $316.27	Professional		$147.87	$210.71	$316.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.56 / $30.24 / $49.04	Professional	26	$22.56	$30.24	$49.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.91 / $182.78 / $264.87	Professional	TC	$125.91	$182.78	$264.87