Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.74 / $10.80 / $13.70	Facility	26	$6.74	$10.80	$13.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $23.03 / $40.61	Professional		$20.91	$23.03	$40.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.50 / $15.88	Professional	26	$6.74	$7.50	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.58 / $15.20 / $28.72	Professional	TC	$13.58	$15.20	$28.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $5.74 / $6.35	Professional	26	$5.70	$5.74	$6.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.50 / $37.57	Professional		$19.10	$22.50	$37.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.14 / $12.88	Professional	26	$6.92	$8.14	$12.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.85 / $14.36 / $23.30	Professional	TC	$11.85	$14.36	$23.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $16.32 / $29.92	Professional		$7.92	$16.32	$29.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $31.75 / $50.00	Professional		$21.89	$31.75	$50.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $10.89 / $18.03	Professional	26	$7.38	$10.89	$18.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.61 / $21.29 / $31.50	Professional	TC	$14.61	$21.29	$31.50
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 $20.09 / $24.54 / $36.81	Professional		$20.09	$24.54	$36.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $8.30 / $12.45	Professional	26	$6.86	$8.30	$12.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.34 / $16.23 / $23.79	Professional	TC	$13.34	$16.23	$23.79