Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.86 / $12.66 / $16.89	Facility	26	$10.86	$12.66	$16.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $40.14 / $153.16	Professional		$35.09	$40.14	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.58 / $12.36 / $30.52	Professional	26	$11.58	$12.36	$30.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.72 / $27.51 / $57.56	Professional	TC	$23.72	$27.51	$57.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $42.20	Professional		$42.20	$42.20	$42.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $9.35 / $11.55	Professional	26	$9.23	$9.35	$11.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.68 / $50.30	Professional		$32.53	$33.68	$50.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $12.46 / $17.37	Professional	26	$12.10	$12.46	$17.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $21.22 / $33.90	Professional	TC	$20.60	$21.22	$33.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $30.03 / $52.71	Professional		$13.27	$30.03	$52.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $50.29 / $81.00	Professional		$37.54	$50.29	$81.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $18.05 / $29.95	Professional	26	$12.61	$18.05	$29.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $34.61 / $51.05	Professional	TC	$24.83	$34.61	$51.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.08 / $32.34 / $32.34	Professional		$19.08	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $39.09 / $58.60	Professional		$35.04	$39.09	$58.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $14.83 / $20.57	Professional	26	$12.19	$14.83	$20.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $28.51 / $40.86	Professional	TC	$22.62	$28.51	$40.86