Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.66 / $38.51 / $55.11	Facility	26	$31.66	$38.51	$55.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $68.76 / $111.47	Professional		$59.56	$68.76	$111.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $31.66 / $76.98	Professional	26	$28.73	$31.66	$76.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.29 / $35.34 / $59.42	Professional	TC	$29.29	$35.34	$59.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $59.82 / $61.02	Professional		$59.82	$59.82	$61.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $39.77 / $42.83	Professional	26	$24.47	$39.77	$42.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $71.83 / $121.70	Professional		$61.05	$71.83	$121.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.47 / $34.67 / $48.41	Professional	26	$29.47	$34.67	$48.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $37.15 / $74.59	Professional	TC	$31.49	$37.15	$74.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $42.49 / $83.75	Professional		$33.61	$42.49	$83.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $102.48 / $179.35	Professional		$73.30	$102.48	$179.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.38 / $47.14 / $72.14	Professional	26	$31.38	$47.14	$72.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.86 / $54.76 / $107.20	Professional	TC	$39.86	$54.76	$107.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.80	Professional		$32.34	$32.34	$65.80
United Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $75.75 / $100.34	Professional		$60.57	$75.75	$100.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $35.97 / $51.38	Professional	26	$28.34	$35.97	$51.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.85 / $39.86 / $54.76	Professional	TC	$29.85	$39.86	$54.76