Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.59 / $17.59 / $17.59	Facility	26	$17.59	$17.59	$17.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $48.13 / $81.59	Professional		$38.13	$48.13	$81.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $20.71 / $28.65	Professional	26	$17.36	$20.71	$28.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.54 / $25.63 / $57.68	Professional	TC	$20.54	$25.63	$57.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $51.31 / $67.36	Professional		$41.63	$51.31	$67.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $22.44 / $30.56	Professional	26	$17.79	$22.44	$30.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.90 / $38.59	Professional	TC	$22.39	$27.90	$38.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $28.03 / $57.86	Professional		$21.75	$28.03	$57.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	26	$23.35	$23.35	$23.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $59.61 / $105.64	Professional		$37.90	$59.61	$105.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.97 / $25.81 / $37.79	Professional	26	$16.97	$25.81	$37.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $36.44 / $67.30	Professional	TC	$20.53	$36.44	$67.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $32.34 / $32.34	Professional		$17.82	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $50.17 / $75.62	Professional		$37.24	$50.17	$75.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.95 / $20.47 / $30.92	Professional	26	$16.95	$20.47	$30.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $28.89 / $49.30	Professional	TC	$20.12	$28.89	$49.30