Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $8.13 / $10.62	Facility	26	$7.31	$8.13	$10.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $31.23 / $76.05	Professional		$27.45	$31.23	$76.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.13 / $12.99	Professional	26	$7.63	$8.13	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $22.08 / $41.46	Professional	TC	$19.17	$22.08	$41.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Professional		$26.54	$26.54	$26.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $30.01 / $49.54	Professional		$25.51	$30.01	$49.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.52 / $14.91	Professional	26	$7.98	$9.52	$14.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.10 / $20.50 / $34.40	Professional	TC	$17.10	$20.50	$34.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.45 / $40.88	Professional		$8.90	$12.45	$40.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $42.00 / $66.53	Professional		$28.37	$42.00	$66.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $12.38 / $19.26	Professional	26	$8.01	$12.38	$19.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $30.77 / $47.27	Professional	TC	$20.51	$30.77	$47.27
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 $26.06 / $31.40 / $47.10	Professional		$26.06	$31.40	$47.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $9.25 / $14.98	Professional	26	$7.49	$9.25	$14.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $23.41 / $33.57	Professional	TC	$18.57	$23.41	$33.57