Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.37 / $24.37 / $24.37	Facility	26	$24.37	$24.37	$24.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $28.88 / $67.58	Professional		$27.42	$28.88	$67.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $23.60 / $29.03	Professional	26	$16.12	$23.60	$29.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.17 / $14.17 / $22.95	Professional	52	$13.17	$14.17	$22.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.70 / $4.04 / $45.10	Professional	TC	$3.70	$4.04	$45.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $24.49 / $34.22	Professional		$24.49	$24.49	$34.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $27.75 / $50.13	Professional		$23.58	$27.75	$50.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $17.92 / $32.10	Professional	26	$15.23	$17.92	$32.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.84 / $8.84 / $26.96	Professional	TC	$3.84	$8.84	$26.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $7.70 / $45.82	Professional		$3.76	$7.70	$45.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.95 / $27.95 / $27.95	Facility	26	$27.95	$27.95	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $45.31 / $83.70	Professional		$24.91	$45.31	$83.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $24.12 / $37.15	Professional	26	$17.85	$24.12	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.01 / $25.95 / $57.29	Professional	TC	$3.01	$25.95	$57.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $32.34 / $32.34	Professional		$7.43	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $42.72 / $69.84	Professional		$23.35	$42.72	$69.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $21.28 / $44.77	Professional	26	$15.23	$21.28	$44.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.34 / $7.89 / $42.21	Professional	TC	$3.34	$7.89	$42.21