Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $34.40 / $57.51	Facility	26	$33.65	$34.40	$57.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $97.77 / $261.52	Professional		$64.31	$97.77	$261.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $34.31 / $55.97	Professional	26	$30.97	$34.31	$55.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $64.03 / $104.69	Professional	TC	$33.03	$64.03	$104.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $85.32 / $85.32	Professional		$85.32	$85.32	$85.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $39.09 / $39.09	Professional	26	$39.09	$39.09	$39.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $69.15 / $116.23	Professional		$50.83	$69.15	$116.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.04 / $35.43 / $53.90	Professional	26	$30.04	$35.43	$53.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.41 / $28.66 / $66.95	Professional	TC	$15.41	$28.66	$66.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $69.12 / $124.42	Professional		$34.40	$69.12	$124.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $93.35 / $160.07	Professional		$54.47	$93.35	$160.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.18 / $45.96 / $71.31	Professional	26	$32.18	$45.96	$71.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $50.25 / $101.29	Professional	TC	$16.77	$50.25	$101.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $32.34 / $41.55	Professional		$9.31	$32.34	$41.55
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $85.02 / $177.90	Professional		$51.86	$85.02	$177.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $42.32 / $68.62	Professional	26	$29.94	$42.32	$68.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $38.61 / $108.74	Professional	TC	$16.98	$38.61	$108.74