Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.94 / $27.80 / $49.59	Facility	26	$24.94	$27.80	$49.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $51.61 / $232.28	Professional		$44.51	$51.61	$232.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $28.94 / $57.34	Professional	26	$25.82	$28.94	$57.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $22.73 / $47.85	Professional	TC	$17.41	$22.73	$47.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $35.89	Professional		$29.27	$29.27	$35.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $25.38 / $33.15	Professional	26	$21.15	$25.38	$33.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $53.50 / $56.37	Professional		$45.47	$53.50	$56.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $29.49 / $31.35	Professional	26	$26.53	$29.49	$31.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $22.45 / $25.02	Professional	TC	$20.20	$22.45	$25.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $30.51 / $55.82	Professional		$15.33	$30.51	$55.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $75.06	Professional		$39.28	$39.28	$75.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $42.21	Professional	26	$25.29	$25.29	$42.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $32.86	Professional	TC	$13.99	$13.99	$32.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.06 / $32.34 / $44.76	Professional		$19.06	$32.34	$44.76
United Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $61.87 / $81.96	Professional		$46.43	$61.87	$81.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $34.61 / $44.22	Professional	26	$26.53	$34.61	$44.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $27.03 / $35.11	Professional	TC	$20.97	$27.03	$35.11