Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $26.39 / $37.19	Facility	26	$16.14	$26.39	$37.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $23.89 / $48.22	Professional		$21.09	$23.89	$48.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $18.26 / $33.15	Professional	26	$16.04	$18.26	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.05 / $6.06 / $15.05	Professional	TC	$5.05	$6.06	$15.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $24.44 / $25.42	Professional	26	$24.44	$24.44	$25.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $26.93	Professional		$12.53	$12.53	$26.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $9.36 / $21.00	Professional	26	$9.36	$9.36	$21.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.17 / $5.00 / $7.16	Professional	TC	$3.17	$5.00	$7.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $23.66 / $37.70	Professional		$8.52	$23.66	$37.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $38.39	Facility	26	$38.39	$38.39	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.78 / $50.01	Professional		$13.80	$26.78	$50.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $20.12 / $38.58	Professional	26	$9.97	$20.12	$38.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.28 / $5.94 / $11.92	Professional	TC	$3.28	$5.94	$11.92
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 $21.92 / $28.97 / $45.48	Professional		$21.92	$28.97	$45.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.27 / $22.81 / $43.48	Professional	26	$17.27	$22.81	$43.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.65 / $6.78 / $12.49	Professional	TC	$4.65	$6.78	$12.49