Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.66 / $2.71 / $7.06	Facility	26	$2.66	$2.71	$7.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $16.62 / $29.10	Professional		$13.63	$16.62	$29.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.50 / $3.46 / $6.87	Professional	26	$2.50	$3.46	$6.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.97 / $12.65 / $23.10	Professional	TC	$10.97	$12.65	$23.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $21.09 / $30.43	Professional		$17.20	$21.09	$30.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.32 / $5.76 / $8.56	Professional	26	$4.32	$5.76	$8.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.49 / $14.95 / $23.29	Professional	TC	$11.49	$14.95	$23.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.50 / $18.80	Professional		$2.48	$3.50	$18.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $25.44 / $39.25	Professional		$14.37	$25.44	$39.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.77 / $6.40 / $10.33	Professional	26	$2.77	$6.40	$10.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.42 / $18.93 / $30.14	Professional	TC	$11.42	$18.93	$30.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $14.15 / $32.34	Professional		$5.42	$14.15	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $24.16 / $39.25	Professional		$18.80	$24.16	$39.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.99 / $5.39 / $8.94	Professional	26	$3.99	$5.39	$8.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.90 / $18.27 / $30.24	Professional	TC	$13.90	$18.27	$30.24