Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.08 / $31.08 / $31.08	Facility	26	$31.08	$31.08	$31.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $60.73 / $101.49	Professional		$52.14	$60.73	$101.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $37.04 / $64.59	Professional	26	$30.92	$37.04	$64.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $24.38 / $38.32	Professional	TC	$21.06	$24.38	$38.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $58.42 / $75.84	Professional		$58.42	$58.42	$75.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $58.01 / $84.45	Professional		$43.50	$58.01	$84.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $36.61 / $50.40	Professional	26	$29.01	$36.61	$50.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $20.88 / $32.65	Professional	TC	$17.00	$20.88	$32.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $34.45 / $74.04	Professional		$23.27	$34.45	$74.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.59 / $41.59 / $41.59	Facility	26	$41.59	$41.59	$41.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $65.88 / $97.31	Professional		$50.25	$65.88	$97.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $40.21 / $60.20	Professional	26	$29.56	$40.21	$60.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.69 / $44.02	Professional	TC	$16.32	$23.69	$44.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $32.34 / $32.34	Professional		$13.97	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $54.82 / $92.05	Professional		$43.59	$54.82	$92.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.97 / $34.39 / $50.14	Professional	26	$28.97	$34.39	$50.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $20.42 / $30.86	Professional	TC	$14.51	$20.42	$30.86