Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.94 / $21.81 / $40.64	Facility	26	$20.94	$21.81	$40.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $53.44 / $69.80	Professional		$29.85	$53.44	$69.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.89 / $37.46	Professional	26	$19.55	$21.89	$37.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $29.32 / $39.54	Professional	TC	$10.31	$29.32	$39.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $26.66 / $26.66	Professional	26	$26.66	$26.66	$26.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $32.11 / $48.86	Professional		$27.30	$32.11	$48.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $22.57 / $30.66	Professional	26	$19.18	$22.57	$30.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.11 / $9.55 / $16.39	Professional	TC	$8.11	$9.55	$16.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $26.85 / $57.50	Professional		$19.04	$26.85	$57.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $45.89 / $81.30	Professional		$35.24	$45.89	$81.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $28.20 / $43.80	Professional	26	$19.59	$28.20	$43.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $15.99 / $50.16	Professional	TC	$10.68	$15.99	$50.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $32.34 / $59.80	Professional		$17.51	$32.34	$59.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $44.22 / $86.44	Professional		$29.60	$44.22	$86.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $24.39 / $44.01	Professional	26	$19.34	$24.39	$44.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.16 / $19.48 / $44.42	Professional	TC	$9.16	$19.48	$44.42