Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $11.16 / $20.23	Facility	26	$9.98	$11.16	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $49.01 / $202.28	Professional		$43.78	$49.01	$202.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $11.28 / $26.20	Professional	26	$10.44	$11.28	$26.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $37.95 / $72.16	Professional	TC	$33.15	$37.95	$72.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $8.48 / $8.48	Professional	26	$8.48	$8.48	$8.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $43.60 / $75.73	Professional		$36.50	$43.60	$75.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $12.92 / $21.10	Professional	26	$10.98	$12.92	$21.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $30.05 / $54.68	Professional	TC	$25.54	$30.05	$54.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $16.98 / $70.94	Professional		$11.72	$16.98	$70.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $62.68 / $101.44	Professional		$44.43	$62.68	$101.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $17.35 / $26.55	Professional	26	$11.36	$17.35	$26.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $47.55 / $78.54	Professional	TC	$31.59	$47.55	$78.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $32.34 / $34.47	Professional		$23.57	$32.34	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $50.51 / $76.41	Professional		$40.42	$50.51	$76.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $12.74 / $18.95	Professional	26	$10.48	$12.74	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $37.74 / $55.58	Professional	TC	$29.17	$37.74	$55.58