Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.16 / $14.64 / $26.80	Facility	26	$10.16	$14.64	$26.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $37.81 / $75.48	Professional		$18.96	$37.81	$75.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $14.64 / $47.00	Professional	26	$7.48	$14.64	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $21.65 / $37.72	Professional	TC	$11.48	$21.65	$37.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $11.39 / $18.23	Professional	26	$11.14	$11.39	$18.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.79 / $45.73	Professional		$16.32	$19.79	$45.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $8.86 / $16.80	Professional	26	$7.53	$8.86	$16.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.02 / $10.93 / $30.93	Professional	TC	$9.02	$10.93	$30.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.61 / $53.00	Professional		$15.49	$28.61	$53.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $31.32 / $69.45	Professional		$20.52	$31.32	$69.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $13.20 / $27.43	Professional	26	$8.77	$13.20	$27.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.08 / $19.46 / $42.03	Professional	TC	$11.08	$19.46	$42.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $32.34 / $32.34	Professional		$11.91	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $36.25 / $56.21	Professional		$18.44	$36.25	$56.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $13.00 / $23.36	Professional	26	$7.25	$13.00	$23.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.26 / $20.09 / $35.92	Professional	TC	$10.26	$20.09	$35.92