Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.86 / $21.24 / $46.22	Facility	26	$17.86	$21.24	$46.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $50.00 / $81.05	Professional		$37.79	$50.00	$81.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $21.35 / $36.86	Professional	26	$18.60	$21.35	$36.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $30.22 / $46.00	Professional	TC	$16.44	$30.22	$46.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $42.35 / $55.06	Professional		$36.00	$42.35	$55.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $21.11 / $21.11	Professional	26	$21.11	$21.11	$21.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $37.52 / $57.38	Professional		$31.89	$37.52	$57.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $22.57 / $32.54	Professional	26	$17.47	$22.57	$32.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $14.95 / $25.36	Professional	TC	$12.70	$14.95	$25.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $22.86 / $52.94	Professional		$16.23	$22.86	$52.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $51.87 / $76.72	Professional		$37.99	$51.87	$76.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $29.77 / $46.50	Professional	26	$18.12	$29.77	$46.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $22.34 / $48.21	Professional	TC	$16.30	$22.34	$48.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $32.34 / $55.06	Professional		$20.18	$32.34	$55.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $45.38 / $77.05	Professional		$35.67	$45.38	$77.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $24.51 / $38.49	Professional	26	$17.30	$24.51	$38.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $22.20 / $41.85	Professional	TC	$14.49	$22.20	$41.85