Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.51 / $49.25 / $89.40	Facility	26	$41.51	$49.25	$89.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $82.01 / $130.36	Professional		$65.54	$82.01	$130.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $45.14 / $77.56	Professional	26	$40.76	$45.14	$77.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $38.02 / $58.88	Professional	TC	$23.28	$38.02	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $59.58 / $91.12	Professional		$59.58	$59.58	$91.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Professional	26	$49.06	$49.06	$49.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $66.13 / $94.13	Professional		$56.21	$66.13	$94.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.19 / $45.39 / $64.09	Professional	26	$38.19	$45.39	$64.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $20.75 / $33.11	Professional	TC	$17.63	$20.75	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $47.18 / $93.16	Professional		$35.29	$47.18	$93.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $89.73 / $133.28	Professional		$66.95	$89.73	$133.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $59.85 / $89.93	Professional	26	$38.75	$59.85	$89.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $31.03 / $59.41	Professional	TC	$22.79	$31.03	$59.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.12	Professional		$32.34	$32.34	$91.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $78.78 / $135.81	Professional		$61.96	$78.78	$135.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $51.21 / $86.69	Professional	26	$39.63	$51.21	$86.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $28.68 / $52.05	Professional	TC	$20.50	$28.68	$52.05