Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $11.50 / $20.84	Facility	26	$10.29	$11.50	$20.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $40.54 / $80.95	Professional		$35.67	$40.54	$80.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $11.43 / $26.04	Professional	26	$10.60	$11.43	$26.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $29.15 / $56.56	Professional	TC	$25.05	$29.15	$56.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $28.46 / $28.46	Professional		$28.46	$28.46	$28.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $10.57 / $18.51	Professional	26	$8.97	$10.57	$18.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $62.39	Professional		$30.65	$36.06	$62.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $13.36 / $21.10	Professional	26	$11.36	$13.36	$21.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $22.70 / $40.24	Professional	TC	$19.29	$22.70	$40.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.95 / $53.92	Professional		$12.40	$17.95	$53.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $50.70 / $83.92	Professional		$37.00	$50.70	$83.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.48 / $27.39	Professional	26	$11.75	$17.48	$27.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $35.21 / $59.70	Professional	TC	$24.13	$35.21	$59.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $32.34 / $32.34	Professional		$17.47	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $42.12 / $62.40	Professional		$33.47	$42.12	$62.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $13.26 / $19.48	Professional	26	$10.78	$13.26	$19.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $28.36 / $40.44	Professional	TC	$22.25	$28.36	$40.44