Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.03 / $14.90 / $26.26	Facility	26	$11.03	$14.90	$26.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $70.68 / $124.23	Professional		$37.88	$70.68	$124.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $14.35 / $38.84	Professional	26	$7.78	$14.35	$38.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $46.68 / $104.66	Professional	TC	$24.75	$46.68	$104.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $56.75 / $56.75	Professional		$56.75	$56.75	$56.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $17.48 / $23.08	Professional	26	$11.00	$17.48	$23.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $56.44 / $88.44	Professional		$45.08	$56.44	$88.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $7.94 / $16.55	Professional	26	$6.83	$7.94	$16.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $45.93 / $71.56	Professional	TC	$33.45	$45.93	$71.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $28.61 / $52.96	Professional		$15.66	$28.61	$52.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $16.93	Facility	26	$16.93	$16.93	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $84.21 / $151.74	Professional		$47.47	$84.21	$151.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $14.23 / $27.30	Professional	26	$9.43	$14.23	$27.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.69 / $68.08 / $137.12	Professional	TC	$31.69	$68.08	$137.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $44.00	Professional		$32.34	$32.34	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $59.03 / $90.46	Professional		$38.51	$59.03	$90.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $14.41 / $29.68	Professional	26	$7.63	$14.41	$29.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $40.07 / $83.23	Professional	TC	$22.62	$40.07	$83.23