Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.23 / $9.23 / $16.68	Facility	26	$8.23	$9.23	$16.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $32.14 / $79.81	Professional		$28.91	$32.14	$79.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.14 / $20.91	Professional	26	$8.51	$9.14	$20.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.10 / $41.46	Professional	TC	$20.39	$23.10	$41.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $7.09 / $8.71	Professional	26	$6.97	$7.09	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $32.04 / $51.30	Professional		$27.24	$32.04	$51.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.81 / $17.05	Professional	26	$9.19	$10.81	$17.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $21.23 / $36.00	Professional	TC	$18.03	$21.23	$36.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $14.00 / $43.01	Professional		$9.67	$14.00	$43.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $44.06 / $70.38	Professional		$30.39	$44.06	$70.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $14.38 / $22.00	Professional	26	$9.61	$14.38	$22.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $30.65 / $47.45	Professional	TC	$21.32	$30.65	$47.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $32.34 / $32.34	Professional		$18.30	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $33.20 / $49.80	Professional		$28.55	$33.20	$49.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $10.62 / $15.71	Professional	26	$8.96	$10.62	$15.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $23.62 / $33.18	Professional	TC	$18.87	$23.62	$33.18