Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.12 / $12.36 / $14.13	Facility	26	$12.12	$12.36	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $40.76 / $64.95	Professional		$36.54	$40.76	$64.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.12 / $17.36	Professional	26	$11.06	$12.12	$17.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $28.43 / $45.86	Professional	TC	$24.92	$28.43	$45.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $37.81 / $50.88	Professional		$32.13	$37.81	$50.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.77 / $16.52	Professional	26	$10.00	$11.77	$16.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $26.04 / $35.53	Professional	TC	$22.13	$26.04	$35.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $15.95 / $54.31	Professional		$11.26	$15.95	$54.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $52.43 / $76.79	Professional		$35.99	$52.43	$76.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $15.55 / $24.27	Professional	26	$11.39	$15.55	$24.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $37.08 / $53.08	Professional	TC	$24.81	$37.08	$53.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $30.66 / $32.34	Professional		$10.18	$30.66	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $45.17 / $77.73	Professional		$36.04	$45.17	$77.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $14.40 / $24.50	Professional	26	$11.31	$14.40	$24.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $30.88 / $51.04	Professional	TC	$24.23	$30.88	$51.04