Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.73 / $17.27 / $23.78	Facility	26	$11.73	$17.27	$23.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $44.58 / $91.13	Professional		$39.97	$44.58	$91.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $13.04 / $27.20	Professional	26	$12.10	$13.04	$27.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $31.58 / $59.42	Professional	TC	$27.86	$31.58	$59.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $31.05 / $31.05	Professional		$31.05	$31.05	$31.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.75 / $9.86 / $13.14	Professional	26	$3.75	$9.86	$13.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $42.48 / $69.68	Professional		$35.47	$42.48	$69.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $15.10 / $23.84	Professional	26	$12.83	$15.10	$23.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $27.38 / $44.77	Professional	TC	$22.67	$27.38	$44.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $19.95 / $58.46	Professional		$14.34	$19.95	$58.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $60.33 / $91.64	Professional		$42.00	$60.33	$91.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $20.32 / $30.62	Professional	26	$13.27	$20.32	$30.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.59 / $42.56 / $64.73	Professional	TC	$28.59	$42.56	$64.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $32.34 / $34.86	Professional		$22.18	$32.34	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $47.28 / $66.19	Professional		$37.82	$47.28	$66.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $14.99 / $21.66	Professional	26	$12.11	$14.99	$21.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $34.14 / $56.06	Professional	TC	$26.27	$34.14	$56.06