Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $11.94 / $13.63	Facility	26	$8.46	$11.94	$13.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $29.76 / $56.88	Professional		$26.56	$29.76	$56.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $9.38 / $21.32	Professional	26	$8.47	$9.38	$21.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $20.66 / $27.89	Professional	TC	$18.10	$20.66	$27.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $8.63 / $8.63	Professional	26	$8.63	$8.63	$8.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $29.75 / $49.20	Professional		$25.28	$29.75	$49.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.35 / $16.32	Professional	26	$8.80	$10.35	$16.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $19.39 / $34.40	Professional	TC	$16.48	$19.39	$34.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $14.38 / $39.21	Professional		$8.99	$14.38	$39.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $40.65 / $67.39	Professional		$28.81	$40.65	$67.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $14.46 / $21.03	Professional	26	$9.10	$14.46	$21.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $28.38 / $44.57	Professional	TC	$19.64	$28.38	$44.57
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 $26.74 / $31.76 / $47.64	Professional		$26.74	$31.76	$47.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.62 / $15.38	Professional	26	$8.27	$10.62	$15.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $21.29 / $31.38	Professional	TC	$17.07	$21.29	$31.38