Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $13.43 / $24.39	Facility	26	$12.04	$13.43	$24.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $40.97 / $77.45	Professional		$36.88	$40.97	$77.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $13.33 / $24.75	Professional	26	$12.04	$13.33	$24.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $28.75 / $51.90	Professional	TC	$25.37	$28.75	$51.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $10.36 / $15.38	Professional	26	$10.25	$10.36	$15.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $40.78 / $64.75	Professional		$34.65	$40.78	$64.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $14.77 / $23.14	Professional	26	$12.55	$14.77	$23.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $26.01 / $43.90	Professional	TC	$22.11	$26.01	$43.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $20.48 / $53.68	Professional		$14.14	$20.48	$53.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $56.96 / $89.23	Professional		$38.78	$56.96	$89.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $20.68 / $29.78	Professional	26	$13.17	$20.68	$29.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $38.31 / $59.45	Professional	TC	$25.97	$38.31	$59.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $32.34 / $34.55	Professional		$22.18	$32.34	$34.55
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $43.14 / $65.51	Professional		$35.75	$43.14	$65.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.13 / $15.17 / $23.45	Professional	26	$12.13	$15.17	$23.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.36 / $28.51 / $42.77	Professional	TC	$23.36	$28.51	$42.77