Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $23.99	Facility	26	$12.88	$12.88	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $177.83	Professional		$38.02	$48.98	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.49 / $30.20	Professional	26	$10.96	$13.49	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $64.57	Professional	TC	$25.70	$33.11	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Professional		$21.88	$21.88	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $16.60	Professional	26	$12.59	$12.59	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $77.62	Professional		$41.69	$42.66	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $15.14 / $26.30	Professional	26	$14.79	$15.14	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $27.54 / $51.29	Professional	TC	$26.30	$27.54	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $19.95	Professional		$12.30	$16.98	$19.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $15.14 / $21.88	Facility	26	$3.24	$15.14	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $223.87	Professional		$42.66	$70.79	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.91 / $64.57	Professional	26	$13.18	$22.91	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $51.29 / $162.18	Professional	TC	$28.84	$51.29	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $33.88	Professional		$21.38	$32.36	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $70.79	Professional		$38.02	$45.71	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.79 / $22.91	Professional	26	$12.30	$14.79	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.90 / $46.77	Professional	TC	$25.70	$30.90	$46.77