Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $9.85 / $15.40	Facility	26	$8.80	$9.85	$15.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.67 / $138.02	Professional		$31.15	$36.67	$138.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $10.75 / $21.60	Professional	26	$9.36	$10.75	$21.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $25.92 / $42.63	Professional	TC	$20.74	$25.92	$42.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $10.98 / $11.70	Professional	26	$7.47	$10.98	$11.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $34.65 / $54.50	Professional		$29.45	$34.65	$54.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.62 / $19.05	Professional	26	$9.86	$11.62	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $23.03 / $37.00	Professional	TC	$19.57	$23.03	$37.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $24.15 / $42.50	Professional		$10.74	$24.15	$42.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $45.65 / $75.01	Professional		$31.24	$45.65	$75.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.24 / $23.53	Professional	26	$10.23	$15.24	$23.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $31.63 / $50.85	Professional	TC	$22.36	$31.63	$50.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $32.34 / $32.34	Professional		$18.86	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $36.18 / $51.98	Professional		$28.92	$36.18	$51.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $11.48 / $16.50	Professional	26	$9.32	$11.48	$16.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.47 / $24.39 / $34.65	Professional	TC	$19.47	$24.39	$34.65