Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.58 / $36.92 / $68.30	Facility	26	$31.58	$36.92	$68.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $67.88 / $109.75	Professional		$51.82	$67.88	$109.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.58 / $33.29 / $59.49	Professional	26	$30.58	$33.29	$59.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $34.50 / $61.73	Professional	TC	$19.32	$34.50	$61.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $82.70 / $82.70	Professional		$81.52	$82.70	$82.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $21.36 / $37.32	Professional	26	$21.36	$21.36	$37.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $52.59 / $78.30	Professional		$44.70	$52.59	$78.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.12 / $34.83 / $48.68	Professional	26	$29.12	$34.83	$48.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.09 / $17.76 / $29.62	Professional	TC	$15.09	$17.76	$29.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $40.19 / $69.56	Professional		$28.71	$40.19	$69.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.10 / $35.10 / $35.10	Facility	26	$35.10	$35.10	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $72.76 / $106.39	Professional		$53.92	$72.76	$106.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $45.44 / $68.70	Professional	26	$29.25	$45.44	$68.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $26.15 / $55.03	Professional	TC	$19.53	$26.15	$55.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $32.34 / $76.79	Professional		$29.97	$32.34	$76.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $62.32 / $109.73	Professional		$48.42	$62.32	$109.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.68 / $38.68 / $63.84	Professional	26	$29.68	$38.68	$63.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.93 / $25.76 / $48.43	Professional	TC	$16.93	$25.76	$48.43