Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $14.82 / $26.80	Facility	26	$13.18	$14.82	$26.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $66.58 / $249.44	Professional		$57.38	$66.58	$249.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $16.00 / $66.40	Professional	26	$13.95	$16.00	$66.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.20 / $50.05 / $95.92	Professional	TC	$44.20	$50.05	$95.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $91.68 / $91.68	Professional		$52.22	$91.68	$91.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.32 / $17.53	Professional	26	$11.22	$16.32	$17.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $57.69 / $82.92	Professional		$56.01	$57.69	$82.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.65 / $16.21 / $21.03	Professional	26	$14.65	$16.21	$21.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.27 / $41.48 / $61.97	Professional	TC	$40.27	$41.48	$61.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $54.17 / $85.57	Professional		$15.42	$54.17	$85.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $81.41 / $129.09	Professional		$60.07	$81.41	$129.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $21.80 / $36.25	Professional	26	$15.43	$21.80	$36.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.22 / $62.86 / $92.84	Professional	TC	$45.22	$62.86	$92.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $48.24	Professional		$32.34	$32.34	$48.24
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $66.02 / $94.37	Professional		$55.76	$66.02	$94.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $18.68 / $24.92	Professional	26	$14.94	$18.68	$24.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.86 / $51.97 / $70.65	Professional	TC	$40.86	$51.97	$70.65