Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.65 / $38.93 / $42.26	Facility	26	$37.65	$38.93	$42.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.33 / $273.08 / $446.26	Professional		$228.33	$273.08	$446.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $38.39 / $56.38	Professional	26	$35.67	$38.39	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.82 / $227.18 / $361.09	Professional	TC	$191.82	$227.18	$361.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $215.15 / $287.20	Professional		$215.15	$215.15	$287.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $44.24 / $44.24	Professional	26	$33.59	$44.24	$44.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $192.46 / $255.44	Professional		$163.59	$192.46	$255.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $30.18 / $39.21	Professional	26	$25.65	$30.18	$39.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.91 / $162.27 / $216.52	Professional	TC	$137.91	$162.27	$216.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $58.39 / $327.62	Professional		$39.11	$58.39	$327.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $322.05 / $498.79	Professional		$222.50	$322.05	$498.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.82 / $50.76 / $78.67	Professional	26	$35.82	$50.76	$78.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.03 / $271.43 / $421.70	Professional	TC	$188.03	$271.43	$421.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.69	Professional		$32.34	$32.34	$205.69
United Facility/Professional Professional Modifier Low / Median / High Price $230.84 / $307.56 / $493.91	Professional		$230.84	$307.56	$493.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $46.28 / $78.25	Professional	26	$35.65	$46.28	$78.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.60 / $260.16 / $415.66	Professional	TC	$192.60	$260.16	$415.66