Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.17 / $14.45 / $18.64	Facility	26	$14.17	$14.45	$18.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $37.90 / $65.20	Professional		$34.14	$37.90	$65.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.24 / $21.79	Professional	26	$13.00	$14.24	$21.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $22.87 / $37.97	Professional	TC	$21.20	$22.87	$37.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $36.31 / $48.23	Professional		$29.28	$36.31	$48.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $16.16 / $18.54	Professional	26	$11.98	$16.16	$18.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $34.27 / $49.58	Professional		$29.12	$34.27	$49.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.16 / $21.50	Professional	26	$12.88	$15.16	$21.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $19.11 / $29.48	Professional	TC	$16.23	$19.11	$29.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $25.55 / $48.23	Professional		$14.48	$25.55	$48.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $45.03 / $68.09	Professional		$33.59	$45.03	$68.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $18.63 / $28.28	Professional	26	$13.38	$18.63	$28.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $26.52 / $41.09	Professional	TC	$20.20	$26.52	$41.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $28.04 / $32.34	Professional		$11.22	$28.04	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $41.47 / $70.59	Professional		$32.00	$41.47	$70.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $16.68 / $28.11	Professional	26	$12.60	$16.68	$28.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $24.29 / $40.99	Professional	TC	$18.89	$24.29	$40.99