Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.93 / $16.57 / $22.31	Facility	26	$14.93	$16.57	$22.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $72.25 / $135.71	Professional		$64.45	$72.25	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $16.54 / $26.57	Professional	26	$15.44	$16.54	$26.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $55.02 / $98.04	Professional	TC	$46.00	$55.02	$98.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $54.19 / $54.19	Professional		$54.19	$54.19	$54.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $18.71 / $19.84	Professional	26	$12.70	$18.71	$19.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $62.71 / $93.53	Professional		$60.88	$62.71	$93.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $17.69 / $22.93	Professional	26	$15.99	$17.69	$22.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.71 / $45.02 / $67.84	Professional	TC	$43.71	$45.02	$67.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $25.39 / $107.05	Professional		$18.25	$25.39	$107.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $19.60	Facility	26	$19.60	$19.60	$19.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $92.95 / $140.32	Professional		$68.66	$92.95	$140.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.61 / $23.84 / $39.56	Professional	26	$16.61	$23.84	$39.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.72 / $71.13 / $104.04	Professional	TC	$49.72	$71.13	$104.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.43	Professional		$32.34	$32.34	$52.43
United Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $79.31 / $112.29	Professional		$61.35	$79.31	$112.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $19.23 / $27.23	Professional	26	$16.32	$19.23	$27.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.70 / $57.94 / $103.02	Professional	TC	$44.70	$57.94	$103.02