Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $11.50 / $20.84	Facility	26	$10.29	$11.50	$20.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $41.52 / $79.93	Professional		$36.82	$41.52	$79.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $11.12 / $18.19	Professional	26	$9.63	$11.12	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $30.98 / $57.10	Professional	TC	$26.20	$30.98	$57.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $8.86 / $20.37	Professional	26	$8.75	$8.86	$20.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $43.33 / $70.04	Professional		$36.83	$43.33	$70.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $11.88 / $19.05	Professional	26	$9.88	$11.88	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.80 / $31.71 / $51.01	Professional	TC	$26.80	$31.71	$51.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $17.50 / $56.20	Professional		$12.57	$17.50	$56.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $57.59 / $93.64	Professional		$40.17	$57.59	$93.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $15.34 / $24.16	Professional	26	$11.25	$15.34	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.67 / $43.13 / $69.48	Professional	TC	$30.67	$43.13	$69.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $32.34 / $35.53	Professional		$25.78	$32.34	$35.53
United Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $46.73 / $63.34	Professional		$36.25	$46.73	$63.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $11.72 / $18.73	Professional	26	$9.81	$11.72	$18.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $32.61 / $46.18	Professional	TC	$27.93	$32.61	$46.18