Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.62 / $8.55 / $15.48	Facility	26	$7.62	$8.55	$15.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $29.12 / $107.74	Professional		$25.99	$29.12	$107.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.56 / $37.19	Professional	26	$7.62	$8.56	$37.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.66 / $39.15	Professional	TC	$17.57	$20.66	$39.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $20.49 / $23.42	Professional		$20.49	$20.49	$23.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $7.74 / $11.34	Professional	26	$6.45	$7.74	$11.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $24.78 / $42.85	Professional		$21.06	$24.78	$42.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.26 / $14.76	Professional	26	$7.87	$9.26	$14.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.20 / $15.53 / $27.94	Professional	TC	$13.20	$15.53	$27.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $22.20 / $38.36	Professional		$9.27	$22.20	$38.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $37.07 / $59.97	Professional		$25.47	$37.07	$59.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.95 / $19.05	Professional	26	$8.34	$11.95	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $25.89 / $40.97	Professional	TC	$16.59	$25.89	$40.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $32.34 / $32.34	Professional		$11.91	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $30.42 / $45.55	Professional		$23.09	$30.42	$45.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.38 / $14.07	Professional	26	$7.56	$9.38	$14.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.06 / $20.61 / $30.32	Professional	TC	$15.06	$20.61	$30.32