Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $13.14 / $16.68	Facility	26	$8.50	$13.14	$16.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $29.48 / $56.73	Professional		$25.80	$29.48	$56.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $9.41 / $19.44	Professional	26	$8.50	$9.41	$19.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $20.36 / $32.13	Professional	TC	$17.30	$20.36	$32.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Professional		$23.93	$23.93	$23.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $10.46 / $10.94	Professional	26	$7.09	$10.46	$10.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $30.43 / $55.39	Professional		$25.09	$30.43	$55.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $11.97 / $19.30	Professional	26	$9.94	$11.97	$19.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $18.60 / $34.32	Professional	TC	$14.92	$18.60	$34.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $22.20 / $39.27	Professional		$9.67	$22.20	$39.27
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 Professional Modifier Low / Median / High Price $28.85 / $44.52 / $64.80	Professional		$28.85	$44.52	$64.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $14.69 / $21.95	Professional	26	$9.97	$14.69	$21.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.99 / $46.20	Professional	TC	$19.50	$28.99	$46.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $32.34 / $32.34	Professional		$20.32	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $33.13 / $48.14	Professional		$24.14	$33.13	$48.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $10.94 / $15.71	Professional	26	$7.85	$10.94	$15.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.71 / $22.37 / $31.32	Professional	TC	$15.71	$22.37	$31.32