Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.61 / $24.11 / $45.76	Facility	26	$20.61	$24.11	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $57.25 / $78.38	Professional		$39.60	$57.25	$78.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $22.23 / $41.41	Professional	26	$20.46	$22.23	$41.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $34.19 / $48.74	Professional	TC	$18.23	$34.19	$48.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $63.47	Professional		$63.47	$63.47	$63.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $24.36 / $24.36	Professional	26	$24.36	$24.36	$24.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $38.88 / $60.24	Professional		$33.04	$38.88	$60.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $22.57 / $32.07	Professional	26	$19.18	$22.57	$32.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $16.30 / $28.51	Professional	TC	$13.86	$16.30	$28.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $26.37 / $61.03	Professional		$18.73	$26.37	$61.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $54.23 / $87.37	Professional		$41.23	$54.23	$87.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $30.29 / $46.03	Professional	26	$19.55	$30.29	$46.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $25.35 / $54.54	Professional	TC	$18.19	$25.35	$54.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $32.34 / $63.47	Professional		$19.87	$32.34	$63.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $49.67 / $87.86	Professional		$37.89	$49.67	$87.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $25.38 / $41.93	Professional	26	$19.48	$25.38	$41.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.28 / $24.58 / $48.73	Professional	TC	$16.28	$24.58	$48.73