Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.09 / $43.74 / $81.92	Facility	26	$37.09	$43.74	$81.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $81.03 / $127.99	Professional		$61.28	$81.03	$127.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $40.31 / $73.01	Professional	26	$36.65	$40.31	$73.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $40.93 / $63.83	Professional	TC	$22.57	$40.93	$63.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $89.59 / $96.47	Professional		$89.58	$89.59	$96.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.26 / $37.26 / $43.84	Professional	26	$37.26	$37.26	$43.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $60.95 / $92.36	Professional		$51.80	$60.95	$92.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.75 / $40.89 / $58.20	Professional	26	$34.75	$40.89	$58.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $20.05 / $33.61	Professional	TC	$17.05	$20.05	$33.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $47.29 / $91.92	Professional		$35.19	$47.29	$91.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $84.27 / $124.41	Professional		$63.50	$84.27	$124.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.08 / $54.16 / $82.40	Professional	26	$35.08	$54.16	$82.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $30.13 / $64.28	Professional	TC	$22.02	$30.13	$64.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.58	Professional		$32.34	$32.34	$89.58
United Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $74.68 / $132.02	Professional		$58.61	$74.68	$132.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $45.45 / $76.50	Professional	26	$35.72	$45.45	$76.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $30.13 / $56.29	Professional	TC	$19.42	$30.13	$56.29