Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.98 / $18.98 / $18.98	Facility	26	$18.98	$18.98	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $55.22 / $60.48	Professional		$47.46	$55.22	$60.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $19.71 / $24.04	Professional	26	$18.30	$19.71	$24.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $34.72 / $41.55	Professional	TC	$27.21	$34.72	$41.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $73.51 / $73.51	Professional		$73.51	$73.51	$73.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $26.93 / $72.50	Professional		$16.35	$26.93	$72.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $10.51 / $35.97	Professional	26	$10.51	$10.51	$35.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.96 / $6.57 / $33.90	Professional	TC	$4.96	$6.57	$33.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $51.73 / $102.91	Professional		$27.36	$51.73	$102.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.25 / $40.25 / $40.25	Facility	26	$40.25	$40.25	$40.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $60.32 / $116.52	Professional		$33.64	$60.32	$116.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $30.42 / $53.46	Professional	26	$11.70	$30.42	$53.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $28.12 / $75.50	Professional	TC	$19.62	$28.12	$75.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $63.11 / $104.48	Professional		$39.13	$63.11	$104.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.53 / $26.35 / $40.50	Professional	26	$18.53	$26.35	$40.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $37.83 / $62.10	Professional	TC	$23.38	$37.83	$62.10