Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $8.85 / $13.47	Facility	26	$7.23	$8.85	$13.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $32.90 / $143.22	Professional		$25.14	$32.90	$143.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.71 / $36.00	Professional	26	$7.24	$9.71	$36.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.57 / $42.49	Professional	TC	$17.78	$22.57	$42.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $7.70 / $8.21	Professional	26	$6.57	$7.70	$8.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $28.33 / $62.90	Professional		$20.84	$28.33	$62.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $8.10 / $12.42	Professional	26	$6.68	$8.10	$12.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $20.14 / $51.90	Professional	TC	$14.15	$20.14	$51.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $17.28 / $30.24	Professional		$7.23	$17.28	$30.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $45.59 / $77.40	Professional		$24.52	$45.59	$77.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $10.96 / $16.50	Professional	26	$7.22	$10.96	$16.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $33.26 / $58.69	Professional	TC	$17.86	$33.26	$58.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $32.34 / $32.34	Professional		$28.08	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $39.09 / $58.16	Professional		$25.05	$39.09	$58.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.82 / $14.29	Professional	26	$7.24	$9.82	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $27.76 / $47.21	Professional	TC	$17.54	$27.76	$47.21