Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.55 / $11.78 / $19.67	Facility	26	$10.55	$11.78	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $42.36 / $70.95	Professional		$34.78	$42.36	$70.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $11.70 / $23.87	Professional	26	$10.44	$11.70	$23.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $28.17 / $51.90	Professional	TC	$25.13	$28.17	$51.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $11.98 / $14.03	Professional	26	$9.09	$11.98	$14.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $36.82 / $60.61	Professional		$31.29	$36.82	$60.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $11.17 / $18.35	Professional	26	$9.49	$11.17	$18.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $25.65 / $40.04	Professional	TC	$21.80	$25.65	$40.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $29.37 / $51.46	Professional		$12.51	$29.37	$51.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $50.50 / $83.16	Professional		$36.58	$50.50	$83.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $15.35 / $24.21	Professional	26	$11.08	$15.35	$24.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $36.08 / $61.97	Professional	TC	$25.80	$36.08	$61.97
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 $32.38 / $40.40 / $57.07	Professional		$32.38	$40.40	$57.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $12.99 / $24.37	Professional	26	$9.78	$12.99	$24.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.30 / $29.26 / $42.22	Professional	TC	$23.30	$29.26	$42.22