Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $50.36 / $81.25	Professional		$40.19	$50.36	$81.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $8.68 / $13.55	Professional	26	$7.15	$8.68	$13.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.82 / $42.04 / $66.31	Professional	TC	$32.82	$42.04	$66.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $58.68 / $58.68	Professional		$58.68	$58.68	$58.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $41.18 / $61.42	Professional		$32.35	$41.18	$61.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.29 / $7.40 / $13.87	Professional	26	$6.29	$7.40	$13.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $32.24 / $51.51	Professional	TC	$21.10	$32.24	$51.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $11.36 / $42.77	Professional		$8.06	$11.36	$42.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $47.48 / $78.51	Professional		$37.20	$47.48	$78.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.76 / $15.00	Professional	26	$6.92	$9.76	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $36.42 / $64.25	Professional	TC	$28.25	$36.42	$64.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $32.34 / $32.34	Professional		$3.22	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $42.96 / $68.23	Professional		$32.26	$42.96	$68.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $8.36 / $14.26	Professional	26	$7.27	$8.36	$14.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.07 / $33.86 / $49.70	Professional	TC	$22.07	$33.86	$49.70