Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $10.62 / $14.69	Facility	26	$7.31	$10.62	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $34.85 / $126.17	Professional		$31.28	$34.85	$126.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.23 / $20.21	Professional	26	$7.33	$8.23	$20.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.03 / $50.73	Professional	TC	$22.57	$27.03	$50.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $8.21 / $9.28	Professional	26	$6.19	$8.21	$9.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $29.37 / $48.92	Professional		$26.66	$29.37	$48.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $9.42 / $14.91	Professional	26	$7.96	$9.42	$14.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $19.94 / $35.44	Professional	TC	$17.86	$19.94	$35.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.45 / $49.96	Professional		$8.94	$12.45	$49.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $43.33 / $72.14	Professional		$28.97	$43.33	$72.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.24 / $19.26	Professional	26	$8.27	$12.24	$19.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.12 / $31.95 / $53.93	Professional	TC	$22.12	$31.95	$53.93
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 $26.36 / $35.39 / $55.22	Professional		$26.36	$35.39	$55.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.24 / $13.53	Professional	26	$7.56	$9.24	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $26.53 / $40.96	Professional	TC	$18.53	$26.53	$40.96