Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $20.93 / $34.09	Facility	26	$17.60	$20.93	$34.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $70.43 / $273.22	Professional		$51.41	$70.43	$273.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $25.62 / $79.41	Professional	26	$18.30	$25.62	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.93 / $45.64 / $71.64	Professional	TC	$31.93	$45.64	$71.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.83 / $19.09 / $22.78	Professional	26	$13.83	$19.09	$22.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $59.02 / $107.80	Professional		$39.78	$59.02	$107.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.94 / $20.44 / $31.14	Professional	26	$16.94	$20.44	$31.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $37.92 / $80.09	Professional	TC	$22.84	$37.92	$80.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $32.54 / $61.73	Professional		$17.89	$32.54	$61.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $89.19 / $139.80	Professional		$49.59	$89.19	$139.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $27.42 / $40.92	Professional	26	$17.82	$27.42	$40.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $61.58 / $101.04	Professional	TC	$32.15	$61.58	$101.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.32	Professional		$32.34	$32.34	$57.32
United Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $84.36 / $113.68	Professional		$51.13	$84.36	$113.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $24.86 / $33.78	Professional	26	$18.01	$24.86	$33.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $53.39 / $83.65	Professional	TC	$32.15	$53.39	$83.65