Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.22 / $19.92 / $27.18	Facility	26	$13.22	$19.92	$27.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $55.15 / $87.24	Professional		$34.77	$55.15	$87.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $14.68 / $27.18	Professional	26	$13.58	$14.68	$27.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $41.56 / $68.17	Professional	TC	$21.35	$41.56	$68.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $29.89 / $29.89	Professional		$29.89	$29.89	$29.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $11.25 / $16.48	Professional	26	$11.16	$11.25	$16.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $46.09 / $83.10	Professional		$37.74	$46.09	$83.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $17.05 / $26.30	Professional	26	$14.50	$17.05	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.04 / $29.44 / $58.70	Professional	TC	$23.04	$29.44	$58.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $22.50 / $50.45	Professional		$16.04	$22.50	$50.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $71.33 / $128.13	Professional		$37.54	$71.33	$128.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $22.33 / $35.72	Professional	26	$14.94	$22.33	$35.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $50.61 / $99.65	Professional	TC	$23.27	$50.61	$99.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $32.34 / $44.11	Professional		$29.66	$32.34	$44.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $55.59 / $74.54	Professional		$35.47	$55.59	$74.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $17.04 / $24.36	Professional	26	$14.07	$17.04	$24.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $33.63 / $54.63	Professional	TC	$20.20	$33.63	$54.63