Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.74 / $15.13 / $28.78	Facility	26	$14.74	$15.13	$28.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $45.48 / $56.18	Professional		$26.23	$45.48	$56.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.37 / $28.12	Professional	26	$13.75	$15.37	$28.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $29.43 / $37.93	Professional	TC	$12.47	$29.43	$37.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $14.24 / $14.24	Professional	26	$14.24	$14.24	$14.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $27.59 / $42.84	Professional		$23.45	$27.59	$42.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $15.90 / $21.69	Professional	26	$13.26	$15.90	$21.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.94 / $11.70 / $19.23	Professional	TC	$9.94	$11.70	$19.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $18.79 / $51.08	Professional		$13.40	$18.79	$51.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $16.55	Facility	26	$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $38.92 / $70.06	Professional		$30.40	$38.92	$70.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $19.80 / $30.48	Professional	26	$13.79	$19.80	$30.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.12 / $17.73 / $47.72	Professional	TC	$13.12	$17.73	$47.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $32.34 / $50.64	Professional		$12.46	$32.34	$50.64
United Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $37.29 / $74.95	Professional		$24.97	$37.29	$74.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $17.05 / $29.79	Professional	26	$13.74	$17.05	$29.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.71 / $19.45 / $42.44	Professional	TC	$10.71	$19.45	$42.44