Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $14.13 / $20.27	Facility	26	$9.36	$14.13	$20.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $46.61 / $115.60	Professional		$33.67	$46.61	$115.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.75 / $16.66	Professional	26	$9.98	$10.75	$16.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $36.57 / $57.59	Professional	TC	$24.78	$36.57	$57.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $12.95 / $18.59	Professional	26	$7.97	$12.95	$18.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $44.00 / $69.36	Professional		$37.36	$44.00	$69.36
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 $26.39 / $32.38 / $49.84	Professional	TC	$26.39	$32.38	$49.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $29.37 / $49.71	Professional		$11.11	$29.37	$49.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $58.16 / $89.34	Professional		$36.75	$58.16	$89.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $15.87 / $24.16	Professional	26	$10.25	$15.87	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $43.35 / $68.04	Professional	TC	$31.44	$43.35	$68.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $32.34 / $34.98	Professional		$25.23	$32.34	$34.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $44.70 / $62.75	Professional		$34.59	$44.70	$62.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $11.70 / $17.05	Professional	26	$9.32	$11.70	$17.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $32.00 / $48.09	Professional	TC	$23.66	$32.00	$48.09