Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.91 / $14.35 / $17.94	Facility	26	$12.91	$14.35	$17.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.29 / $26.21 / $158.74	Facility	TC	$25.29	$26.21	$158.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $42.54 / $76.59	Professional		$37.95	$42.54	$76.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $14.44 / $22.75	Professional	26	$13.80	$14.44	$22.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.10 / $38.54	Professional	TC	$23.51	$28.10	$38.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $11.12 / $12.92	Professional	26	$11.12	$11.12	$12.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $38.39 / $52.60	Professional		$38.39	$38.39	$52.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $15.60 / $18.85	Professional	26	$13.26	$15.60	$18.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $22.79 / $35.03	Professional	TC	$22.79	$22.79	$35.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $21.97 / $56.17	Professional		$15.76	$21.97	$56.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $54.89 / $88.12	Professional		$38.79	$54.89	$88.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $21.90 / $36.35	Professional	26	$15.38	$21.90	$36.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $34.83 / $51.99	Professional	TC	$25.14	$34.83	$51.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $32.34 / $32.90	Professional		$19.53	$32.34	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $44.59 / $63.66	Professional		$37.74	$44.59	$63.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $17.61 / $24.90	Professional	26	$13.78	$17.61	$24.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $27.80 / $39.59	Professional	TC	$22.96	$27.80	$39.59