Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.14 / $14.39 / $17.63	Facility	26	$9.14	$14.39	$17.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $44.75 / $275.00	Professional		$22.16	$44.75	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $9.58 / $49.00	Professional	26	$8.83	$9.58	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.02 / $28.14 / $92.72	Professional	TC	$13.02	$28.14	$92.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $10.94 / $12.25	Professional	26	$6.97	$10.94	$12.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $34.72 / $187.27	Professional		$28.03	$34.72	$187.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.94 / $5.88 / $16.84	Professional	26	$4.94	$5.88	$16.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $28.78 / $171.43	Professional	TC	$16.62	$28.78	$171.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $17.39 / $31.72	Professional		$10.02	$17.39	$31.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $76.02 / $195.00	Professional		$22.74	$76.02	$195.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $13.92 / $22.93	Professional	26	$9.74	$13.92	$22.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.62 / $78.53 / $177.60	Professional	TC	$15.62	$78.53	$177.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $32.34 / $93.17	Professional		$29.46	$32.34	$93.17
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.61 / $125.40	Professional		$21.38	$33.61	$125.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $10.79 / $15.17	Professional	26	$8.80	$10.79	$15.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.84 / $20.02 / $114.78	Professional	TC	$11.84	$20.02	$114.78