Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.39 / $30.04 / $55.82	Facility	26	$25.39	$30.04	$55.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $61.54 / $97.39	Professional		$43.79	$61.54	$97.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $27.60 / $48.44	Professional	26	$24.90	$27.60	$48.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $33.58 / $47.34	Professional	TC	$17.87	$33.58	$47.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.86 / $28.86 / $28.86	Professional	26	$28.86	$28.86	$28.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $43.42 / $67.36	Professional		$36.90	$43.42	$67.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $27.45 / $39.49	Professional	26	$23.33	$27.45	$39.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.57 / $15.97 / $27.96	Professional	TC	$13.57	$15.97	$27.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $32.54 / $65.04	Professional		$25.39	$32.54	$65.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Facility	26	$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $60.65 / $93.88	Professional		$46.63	$60.65	$93.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $37.11 / $56.15	Professional	26	$24.10	$37.11	$56.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $24.81 / $53.57	Professional	TC	$17.92	$24.81	$53.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $32.34 / $67.64	Professional		$24.33	$32.34	$67.64
United Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $55.55 / $96.48	Professional		$42.21	$55.55	$96.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $31.00 / $50.84	Professional	26	$24.36	$31.00	$50.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $24.06 / $46.62	Professional	TC	$15.75	$24.06	$46.62