Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $29.51 / $46.77	Facility	26	$21.88	$29.51	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $107.15	Professional		$34.67	$42.66	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $63.10	Professional	26	$21.88	$26.92	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $16.98 / $70.79	Professional	TC	$12.02	$16.98	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $95.50	Professional		$30.90	$30.90	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $57.54	Professional	26	$19.05	$26.92	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $154.88	Professional		$66.07	$79.43	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.20 / $56.23	Professional	26	$28.18	$30.20	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $102.33	Professional	TC	$37.15	$48.98	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $50.12	Professional		$17.38	$26.30	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $38.90	Facility	26	$5.89	$27.54	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $346.74	Professional		$75.86	$114.82	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $128.82	Professional	26	$26.92	$46.77	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $85.11 / $165.96	Professional	TC	$22.91	$85.11	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $41.69	Professional		$32.36	$33.11	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $93.33	Professional		$42.66	$72.44	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $38.90	Professional	26	$21.88	$28.84	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $45.71 / $58.88	Professional	TC	$19.95	$45.71	$58.88