Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $25.70 / $39.81	Facility	26	$21.88	$25.70	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $93.33	Professional		$30.20	$38.90	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $61.66	Professional	26	$20.42	$26.92	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $20.89	Professional	TC	$10.00	$12.02	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $51.29	Professional		$27.54	$37.15	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.30 / $54.95	Professional	26	$20.42	$26.30	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $38.02	Professional		$27.54	$32.36	$38.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $36.31	Professional	26	$19.05	$23.99	$36.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.75 / $19.05	Professional	TC	$8.91	$11.75	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $24.55 / $43.65	Professional		$11.75	$24.55	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $25.12 / $35.48	Facility	26	$5.37	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $162.18	Professional		$31.62	$48.98	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $32.36 / $102.33	Professional	26	$21.38	$32.36	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $15.49 / $58.88	Professional	TC	$10.23	$15.49	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $32.36 / $33.11	Professional		$8.32	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $61.66	Professional		$28.84	$36.31	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $42.66	Professional	26	$19.95	$25.12	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.22 / $19.05	Professional	TC	$8.91	$11.22	$19.05