Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $12.39 / $18.20	Facility	26	$8.50	$12.39	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $19.26 / $32.14	Professional		$15.90	$19.26	$32.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $9.52 / $18.20	Professional	26	$9.02	$9.52	$18.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.99 / $10.11 / $16.60	Professional	TC	$6.99	$10.11	$16.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $11.65 / $11.65	Professional	26	$7.56	$11.65	$11.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $22.44 / $47.60	Professional		$18.76	$22.44	$47.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $11.52 / $17.64	Professional	26	$9.78	$11.52	$17.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.02 / $10.93 / $32.29	Professional	TC	$9.02	$10.93	$32.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.81 / $23.56	Professional		$8.69	$11.81	$23.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $32.19 / $55.30	Professional		$17.86	$32.19	$55.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.37 / $24.37	Professional	26	$9.84	$15.37	$24.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.93 / $17.16 / $31.80	Professional	TC	$8.93	$17.16	$31.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $32.34 / $32.34	Professional		$16.07	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $23.01 / $35.00	Professional		$17.30	$23.01	$35.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $11.11 / $16.25	Professional	26	$8.99	$11.11	$16.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.36 / $10.56 / $19.97	Professional	TC	$7.36	$10.56	$19.97