Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.62 / $11.42 / $15.86	Facility	26	$7.62	$11.42	$15.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $35.71 / $65.38	Professional		$29.87	$35.71	$65.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.47 / $17.32	Professional	26	$7.92	$8.47	$17.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $26.88 / $49.24	Professional	TC	$21.94	$26.88	$49.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $30.34 / $49.23	Professional		$25.78	$30.34	$49.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $9.88 / $15.63	Professional	26	$8.39	$9.88	$15.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $20.46 / $36.24	Professional	TC	$17.39	$20.46	$36.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.96 / $49.70	Professional		$9.27	$12.96	$49.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $43.87 / $74.08	Professional		$29.23	$43.87	$74.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.52 / $20.10	Professional	26	$8.61	$12.52	$20.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $31.95 / $55.37	Professional	TC	$20.19	$31.95	$55.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $32.34 / $32.34	Professional		$14.70	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $35.45 / $52.04	Professional		$26.42	$35.45	$52.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $9.65 / $14.07	Professional	26	$7.93	$9.65	$14.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $26.45 / $38.90	Professional	TC	$18.00	$26.45	$38.90