Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.96 / $45.70 / $63.63	Facility	26	$27.96	$45.70	$63.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $43.09 / $67.86	Professional		$41.51	$43.09	$67.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.66 / $29.02 / $45.70	Professional	26	$27.66	$29.02	$45.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.56 / $15.04 / $22.16	Professional	TC	$13.56	$15.04	$22.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.30 / $42.30 / $42.30	Professional	26	$42.30	$42.30	$42.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $25.47 / $70.45	Professional		$24.10	$25.47	$70.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $16.27 / $47.41	Professional	26	$16.27	$16.27	$47.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.08 / $9.50 / $20.25	Professional	TC	$8.08	$9.50	$20.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $32.90 / $70.41	Professional		$19.57	$32.90	$70.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.53 / $54.53 / $54.53	Facility	26	$54.53	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $49.72 / $96.60	Professional		$25.75	$49.72	$96.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $36.22 / $68.09	Professional	26	$17.19	$36.22	$68.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.55 / $13.50 / $35.52	Professional	TC	$8.55	$13.50	$35.52
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 $40.42 / $53.77 / $86.61	Professional		$40.42	$53.77	$86.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.39 / $38.00 / $74.53	Professional	26	$27.39	$38.00	$74.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.66 / $16.51 / $27.88	Professional	TC	$11.66	$16.51	$27.88